Mrs Lucy Rena' Mikell, MSN, FNP-C | |
804 Robb Street, Summit, MS 39666 | |
(601) 276-7665 | |
(601) 276-7556 |
Full Name | Mrs Lucy Rena' Mikell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 804 Robb Street, Summit, Mississippi |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710463856 | NPI | - | NPPES |
08520383 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 902573 (Mississippi) | Primary |
363L00000X | Nurse Practitioner | AP10101 (Louisiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neuro Care Of Louisiana, Llc | 0143514083 | 13 |
Entity Name | Jennifer D Gholson Md, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487967410 PECOS PAC ID: 0244363794 Enrollment ID: O20100804000264 |
Entity Name | Progressive Medical Management Of Batesville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265 |
Entity Name | Community Care Health Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
Entity Name | Neuro Care Of Louisiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073962528 PECOS PAC ID: 0143514083 Enrollment ID: O20210629003095 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lucy Rena' Mikell, MSN, FNP-C 804 Robb Street, Summit, MS 39666 Ph: (601) 276-7665 | Mrs Lucy Rena' Mikell, MSN, FNP-C 804 Robb Street, Summit, MS 39666 Ph: (601) 276-7665 |
Mrs. Karen Boone, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 1268, Summit, MS 39666 Phone: 601-276-7665 Fax: 601-276-7655 | |
Elizabeth Mccord, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 Robb St, Summit, MS 39666 Phone: 601-502-7160 | |
Joseph Lee Dykes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Highway 570, Summit, MS 39666 Phone: 601-684-7771 Fax: 601-465-0554 | |
Ms. Susan L Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7900 Ms-570, Summit, MS 39666 Phone: 601-684-7771 | |
Donald Mcdaniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1121 Hwy 98/51, Summit, MS 39666 Phone: 601-465-0770 Fax: 601-465-0771 | |
Michelle Lavell Mckenzie, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 |