| Patricia A Thompson, FNP-BC | |
|
598 W 11th Ave, Lumberton, MS 39455-2350 | |
| (601) 796-4214 | |
| (601) 796-9437 |
| Full Name | Patricia A Thompson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 598 W 11th Ave, Lumberton, 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 |
|---|---|---|---|
| 1902926488 | NPI | - | NPPES |
| 1825069 | Medicaid | LA | |
| 2788583 | Other | MS | UNITED HEALTH CARE |
| P00445052 | Other | MS | RAILROAD MEDICARE |
| 05438580 | Medicaid | MS | |
| 9229279 | Other | MS | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R857340 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tender Loving Care | Gulfport, MS | Home health agency |
| Amedisys Home Health Of Collins | Collins, MS | Home health agency |
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Pearl River County Hospital | Poplarville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Mississippi Rural Health Initiative, Inc. | 2466342605 | 36 |
| Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Thompson, FNP-BC Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700 | Patricia A Thompson, FNP-BC 598 W 11th Ave, Lumberton, MS 39455-2350 Ph: (601) 796-4214 |
Vanessa Gibbs, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 598 W 11th Ave, Lumberton, MS 39455 Phone: 601-796-4215 | |
Carla Whitfield, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 598 W 11th Ave, Lumberton, MS 39455 Phone: 601-545-8700 Fax: 601-582-5461 |