| Mrs Miranda Michelle Shegog, FNP-BC | |
|
149 Old Mound Bayou Rd, Mound Bayou, MS 38762-9591 | |
| (662) 741-2151 | |
| Not Available |
| Full Name | Mrs Miranda Michelle Shegog |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 149 Old Mound Bayou Rd, Mound Bayou, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114215456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R865569 (Mississippi) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Miranda Michelle Shegog, FNP-BC 149 Old Mound Bayou Rd, Mound Bayou, MS 38762-9591 Ph: () - | Mrs Miranda Michelle Shegog, FNP-BC 149 Old Mound Bayou Rd, Mound Bayou, MS 38762-9591 Ph: (662) 741-2151 |
Daffany Williams, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-8800 | |
Mrs. Meta H Anderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 Martin Luther King St, Pob 900, Mound Bayou, MS 38762 Phone: 662-741-2151 | |
Shonda Williams, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-2151 Fax: 662-741-8895 | |
Mrs. Alyssa Lott Simmons, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-2151 Fax: 662-741-2700 | |
Mrs. Barbara H Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Delta Health Center- Mound Bayou, 702 W M.l.k. Jr. Dr., Mound Bayou, MS 38762 Phone: 662-741-8800 |