| Mrs Shelia A Sancillo Tice, CFNP | |
|
456 W Bankhead St, New Albany, MS 38652-3319 | |
| (662) 534-8780 | |
| (662) 314-8577 |
| Full Name | Mrs Shelia A Sancillo Tice |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 456 W Bankhead St, New Albany, 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 |
|---|---|---|---|
| 1255617973 | NPI | - | NPPES |
| 01484713 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | R857901 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Friendship Medical Clinic Llc | 0648275024 | 8 |
| Entity Name | Premier Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083669121 PECOS PAC ID: 2769452242 Enrollment ID: O20040730000681 |
| Entity Name | Friendship Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586273 PECOS PAC ID: 0648275024 Enrollment ID: O20060918000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shelia A Sancillo Tice, CFNP 456 W Bankhead St, New Albany, MS 38652-3319 Ph: (662) 534-8780 | Mrs Shelia A Sancillo Tice, CFNP 456 W Bankhead St, New Albany, MS 38652-3319 Ph: (662) 534-8780 |
Mrs. Sandra C Durrett, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Oxford Road, New Albany, MS 38652 Phone: 662-534-8166 Fax: 662-534-8132 | |
Velma Sue Morrisson, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 474 W Bankhead St, New Albany, MS 38652 Phone: 662-534-7777 Fax: 662-534-3050 | |
Angela Orsborn, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hwy 30 W, New Albany, MS 38652 Phone: 662-538-2150 Fax: 662-538-2571 | |
Kara Rushing, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Doctors Dr, New Albany, MS 38652 Phone: 662-534-5036 | |
Katherine Rose Wilson, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Fairfield Dr, New Albany, MS 38652 Phone: 662-534-0029 | |
Mrs. Hailey Ott Davis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Oxford Rd, New Albany, MS 38652 Phone: 662-534-9042 Fax: 662-534-9707 | |
Lisa Clark, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Doctors Dr, New Albany, MS 38652 Phone: 662-534-5036 Fax: 662-534-9696 |