| Mr Jarett Lawrence Pollan, FNP | |
|
1311 Aston Ave, Mccomb, MS 39648-2825 | |
| (601) 684-2481 | |
| (601) 684-2488 |
| Full Name | Mr Jarett Lawrence Pollan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1311 Aston Ave, Mccomb, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831679869 | NPI | - | NPPES |
| 08534301 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 902695 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Corner Clinic Urgent Care Llc | 4082903034 | 4 |
| Southwest Mississippi Regional Medical Center | 5193633907 | 83 |
| Entity Name | Southwest Mississippi Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982174488 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000004 |
| Entity Name | Southwest Mississippi Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932159498 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000066 |
| Entity Name | Corner Clinic Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073971792 PECOS PAC ID: 4082903034 Enrollment ID: O20160516001281 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jarett Lawrence Pollan, FNP Po Box 490, Mccomb, MS 39649-0490 Ph: (601) 249-2701 | Mr Jarett Lawrence Pollan, FNP 1311 Aston Ave, Mccomb, MS 39648-2825 Ph: (601) 684-2481 |
Mrs. Betty Richardson, CNFP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Marion Ave, Mccomb, MS 39648 Phone: 601-684-6891 Fax: 601-249-3834 | |
Micah Kennedy Craft, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648 Phone: 601-682-7623 | |
Mrs. Mary Thornton, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Rawls Dr, Ste 1200, Mccomb, MS 39648 Phone: 601-249-4710 Fax: 601-249-4716 | |
William Jason Bass, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 954-367-8523 | |
Ms. Robin Bass Spring, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Scott Dr, Mccomb, MS 39648 Phone: 601-680-0371 | |
Sunja Tate, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Drive, Suite 100, Mccomb, MS 39649 Phone: 601-684-7623 Fax: 877-795-9891 | |
Kosheya Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Rawls Dr Ste 100, Mccomb, MS 39648 Phone: 601-684-2481 Fax: 601-684-2488 |