| Mrs Michele Bryant Mahaffey, FNP | |
|
1014 Rose St, Suite A, Prentiss, MS 39474-5271 | |
| (601) 792-2200 | |
| (601) 792-2345 |
| Full Name | Mrs Michele Bryant Mahaffey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 1014 Rose St, Prentiss, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194745315 | NPI | - | NPPES |
| 05851817 | Medicaid | MS | |
| 12117492 | Other | MS | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R667552 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Collins | Collins, MS | Home health agency |
| Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
| Jefferson Davis General Hospital | Prentiss, MS | Hospital |
| Marion General Hospital | Columbia, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forrest County General Hospital | 1052397767 | 99 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michele Bryant Mahaffey, FNP Po Box 667, 1014 Rose Street Suite A, Prentiss, MS 39474-0667 Ph: (601) 792-2200 | Mrs Michele Bryant Mahaffey, FNP 1014 Rose St, Suite A, Prentiss, MS 39474-5271 Ph: (601) 792-2200 |
Rhonda Cox, MSN, FNP-C/AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Shadonna Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 | |
Mary Sue Watkins, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Diane Morris, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 Fax: 601-792-8211 | |
Angela Marice Perkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 | |
Katie Daley Rush, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St., Ste. A, Prentiss, MS 39474 Phone: 601-792-1223 Fax: 601-651-6076 |