| Michael T Beckum, FNP | |
|
840 N Oak Ave, Ruleville, MS 38771-3227 | |
| (662) 756-2711 | |
| (662) 756-4114 |
| Full Name | Michael T Beckum |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 840 N Oak Ave, Ruleville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225242100 | NPI | - | NPPES |
| 00123578 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R798671 (Mississippi) | Primary |
| Entity Name | North Sunflower Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Coffee County Physician Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437164878 PECOS PAC ID: 4082671235 Enrollment ID: O20190612002779 |
| Entity Name | Quitman Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063177228 PECOS PAC ID: 7012306830 Enrollment ID: O20220107001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Beckum, FNP 127 S. Glenbrook, Grenada, MS 38901 Ph: (662) 229-5367 | Michael T Beckum, FNP 840 N Oak Ave, Ruleville, MS 38771-3227 Ph: (662) 756-2711 |
Michaela Stone, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-1788 Fax: 662-756-1694 | |
April M Davis, APRN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 | |
Mrs. Judy Ann Pearce, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 Fax: 662-756-4023 | |
Kathryn Meredith James, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 | |
Katherine Ethridge Summers, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 | |
Natalie Roberts Dozier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 |