| Mrs Tiffany Edwards Keith, MHS, PA-C | |
|
1220 Jefferson St, Laurel, MS 39440-4355 | |
| (601) 426-4000 | |
| (601) 426-4105 |
| Full Name | Mrs Tiffany Edwards Keith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1220 Jefferson St, Laurel, 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 |
|---|---|---|---|
| 1720441355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA058228 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA00374 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comfortcare Home Health | Laurel, MS | Home health agency |
| Mississippi Homecare Of Richton | Richton, MS | Home health agency |
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healogics Specialty Physicians Of Mississippi Llc | 5496052904 | 10 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Entity Name | Healogics Specialty Physicians of Mississippi LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245622562 PECOS PAC ID: 5496052904 Enrollment ID: O20160329001249 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tiffany Edwards Keith, MHS, PA-C Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6169 | Mrs Tiffany Edwards Keith, MHS, PA-C 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4000 |
Anna Kennedy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-518-7129 |
Madelyn A Baucum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-426-4105 |
Mr. Alan Bryson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1440 Jefferson St, Laurel, MS 39440 Phone: 601-428-0577 Fax: 601-426-9854 |
Jillian Carroll, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson St, Suite 400, Laurel, MS 39440 Phone: 601-649-7802 Fax: 601-428-7841 |
Maylen Musgrove Brady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1706 W 10th St, Laurel, MS 39440 Phone: 601-554-7400 Fax: 601-554-7499 |
Jeanna Berkey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1440 Jefferson St, Laurel, MS 39440 Phone: 601-428-0577 |
Jensen Ciacci, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson Street, Ste 400, Laurel, MS 39440 Phone: 601-649-7802 |