| Mrs Shekela Douglas, PMHNP | |
|
105 Executive Dr Ste A, Madison, MS 39110-8496 | |
| (601) 540-5900 | |
| (228) 263-3904 |
| Full Name | Mrs Shekela Douglas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 105 Executive Dr Ste A, Madison, 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 |
|---|---|---|---|
| 1306511225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 904237 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uppal Medical Center Llc | 4587998547 | 129 |
| Mdb Behavioral Health Services Llc | 0749572915 | 201 |
| Entity Name | Minor Med Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407968738 PECOS PAC ID: 7618866021 Enrollment ID: O20040313000147 |
| Entity Name | Mdb Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
| Entity Name | Uppal Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558927905 PECOS PAC ID: 4587998547 Enrollment ID: O20190625001406 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shekela Douglas, PMHNP 272 Calhoun Station Pkwy Ste C, Madison, MS 39110-5541 Ph: (601) 540-5900 | Mrs Shekela Douglas, PMHNP 105 Executive Dr Ste A, Madison, MS 39110-8496 Ph: (601) 540-5900 |
Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 Fountains Blvd Ste 201, Madison, MS 39110 Phone: 769-300-0730 |
Mallory Elizabeth Boggs, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-859-8200 |
Mary Hamilton Harkins, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1082 Gluckstadt Rd, Madison, MS 39110 Phone: 601-707-5621 |
Mrs. Sydney Mccary Ponder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Baptist Dr Ste 301, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1577 |
Allison Ayers Cochran, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 102 Lexington Dr Ste 100, Madison, MS 39110 Phone: 601-973-1688 Fax: 601-973-1690 |
Heather Hontzas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste A, Madison, MS 39110 Phone: 769-231-1400 |
Dean E Whitley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 794 Highway 51, Suite D, Madison, MS 39110 Phone: 601-853-8814 Fax: 601-853-8816 |