| Mrs Rebecca Truelove Moore, FNP-BC | |
|
156 River Oaks Dr, Suite A, Canton, MS 39046-5376 | |
| (601) 855-5287 | |
| Not Available |
| Full Name | Mrs Rebecca Truelove Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 156 River Oaks Dr, Canton, 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 |
|---|---|---|---|
| 1134558653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R878648 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Surgical Clinic Pllc | 9335221464 | 17 |
| Entity Name | Lakeland Surgical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649499740 PECOS PAC ID: 9335221464 Enrollment ID: O20080129000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rebecca Truelove Moore, FNP-BC 156 River Oaks Dr, Suite A, Canton, MS 39046-5376 Ph: (601) 855-5287 | Mrs Rebecca Truelove Moore, FNP-BC 156 River Oaks Dr, Suite A, Canton, MS 39046-5376 Ph: (601) 855-5287 |
Latoya Sojourney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 | |
Okshoon Scott, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 | |
Ms. Kiara Diontea Merchant, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 | |
Angela Jones-stewart, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 | |
Shamekka Nicolette Skinner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 | |
Stephanie Terry, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 |