Mrs Shawnta Senice Gandy, in Petal, MS - Medicare Nurse Practitioner

Mrs Shawnta Senice Gandy, is a medicare enrolled "Nurse Practitioner - Family" in Petal, Mississippi. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minor Med Care, Llc, Uppal Medical Center Llc, Mdb Behavioral Health Services Llc, Mdb Care Management Llc and her current practice location is 27 Candelabra St, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 620-8011.

Mrs Shawnta Senice Gandy is licensed to practice in Mississippi (license number R883735) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366851321.

Contact Information

	Mrs Shawnta Senice Gandy,
	27 Candelabra St, Petal, MS 39465-9008
	(601) 620-8011
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shawnta Senice Gandy
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	27 Candelabra St, Petal, 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.

Medical Education and Training:

Mrs Shawnta Senice Gandy graduated from nursing school in 2014

NPI Data:

NPI Number: 1366851321
Provider Enumeration Date: 08/04/2014
Last Update Date: 10/05/2015

Medicare PECOS Information:

PECOS PAC ID: 3577889252
Enrollment ID: I20240509001873

Medical Identifiers

Medical identifiers for Mrs Shawnta Senice Gandy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366851321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R883735 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	R883735 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minor Med Care, Llc	7618866021	83
Uppal Medical Center Llc	4587998547	125
Mdb Behavioral Health Services Llc	0749572915	192
Mdb Care Management Llc	0547619512	5

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shawnta Senice Gandy allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Of Colorado Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023625662 PECOS PAC ID: 8527474899 Enrollment ID: O20210311000251

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shawnta Senice Gandy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shawnta Senice Gandy, 27 Candelabra St, Petal, MS 39465-9008 Ph: (601) 620-8011	Mrs Shawnta Senice Gandy, 27 Candelabra St, Petal, MS 39465-9008 Ph: (601) 620-8011

Reviews and Comments

Nurse Practitioner Nurses in Petal, MS

Mrs. Hang My-thi Nguyen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Eastbrook Dr Ste 30, Petal, MS 39465 Phone: 601-336-5393
Mallory Stockstill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890
Christina Francessca Thornton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309
David Lee Snodgrass, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890
Raven Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S Main St, Petal, MS 39465 Phone: 602-336-5626
Mrs. Erin Lazenby, CPNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 36 Panther Stadium Dr, Petal, MS 39465 Phone: 601-450-2144 Fax: 601-450-2145
Mrs. Allison Garrett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Panther Stadium Dr, Petal, MS 39465 Phone: 601-450-2144 Fax: 601-450-2145

Mrs Shawnta Senice Gandy, - Medicare Nurse Practitioner in Petal, MS