| Mrs Theresa Danyell Mckissick, APRN | |
|
365 Wire Rd W, Perkinston, MS 39573-5723 | |
| (601) 528-1496 | |
| Not Available |
| Full Name | Mrs Theresa Danyell Mckissick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 365 Wire Rd W, Perkinston, 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 |
|---|---|---|---|
| 1962100347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905796 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Highland Community Hospital | Picayune, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Relias Clinical Decision Specialists Of Hattiesburg Llc | 3173998358 | 11 |
| Rh Hospitalist Medicine Of Highland Community Llc | 8022451038 | 13 |
| Relias Emergency Medicine Specialists Of Hattiesburg Llc | 9032549142 | 39 |
| Entity Name | Relias Emergency Medicine Specialists Of Hattiesburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970 |
| Entity Name | Relias Clinical Decision Specialists Of Hattiesburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336867415 PECOS PAC ID: 3173998358 Enrollment ID: O20230403000431 |
| Entity Name | Rh Hospitalist Medicine Of Marion General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801660170 PECOS PAC ID: 2567815384 Enrollment ID: O20240129002254 |
| Entity Name | Rh Emergency Medicine Of Highland Community Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033987946 PECOS PAC ID: 4587017918 Enrollment ID: O20240201000844 |
| Entity Name | Rh Hospitalist Medicine Of Highland Community Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841068756 PECOS PAC ID: 8022451038 Enrollment ID: O20240207000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa Danyell Mckissick, APRN 365 Wire Rd W, Perkinston, MS 39573-5723 Ph: (601) 528-1496 | Mrs Theresa Danyell Mckissick, APRN 365 Wire Rd W, Perkinston, MS 39573-5723 Ph: (601) 528-1496 |