| Mrs Tiffine Lynn Prisock, FNP-C | |
|
823 Highway 12 W Ste C, Starkville, MS 39759-3593 | |
| (662) 338-0123 | |
| Not Available |
| Full Name | Mrs Tiffine Lynn Prisock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 823 Highway 12 W Ste C, Starkville, 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 |
|---|---|---|---|
| 1457967226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 904155 (Mississippi) | Primary |
| 207Q00000X | Family Medicine | 904155 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ortho Express Holding Company, Llc | 1951724392 | 13 |
| Golden Triangle Urgent Care Llc | 7315197498 | 11 |
| Entity Name | Convenient Care Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851490841 PECOS PAC ID: 1052587284 Enrollment ID: O20120110000278 |
| Entity Name | Golden Triangle Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346592045 PECOS PAC ID: 7315197498 Enrollment ID: O20121025000818 |
| Entity Name | Dutch Medical Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tiffine Lynn Prisock, FNP-C 206 Oxford Rd, New Albany, MS 38652-3115 Ph: (662) 534-2227 | Mrs Tiffine Lynn Prisock, FNP-C 823 Highway 12 W Ste C, Starkville, MS 39759-3593 Ph: (662) 338-0123 |
Mrs. Maggie Martin Fair, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Wilburn Way, Starkville, MS 39759 Phone: 662-323-9908 Fax: 662-323-8948 | |
Mrs. Anna Cooper, WHNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Starkville, MS 39759 Phone: 662-323-4427 | |
Mrs. Rachel Romero Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1207 Highway 182 W, Starkville, MS 39759 Phone: 662-320-7800 | |
Mrs. Mamie M Kosko, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Wilburn Way, Starkville, MS 39759 Phone: 662-320-4008 Fax: 662-320-2450 | |
Mrs. Laura J Hare, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Russell St, Suite 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295 | |
Meredith Patton Hartline, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Russell St Ste 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295 | |
Rosaland Ann Henderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Brandon Rd, Starkville, MS 39759 Phone: 662-324-1291 |