| Phillip Eric Rodgers, FNP-C | |
|
630 Northwest Ave, Durant, MS 39063-3337 | |
| (662) 653-3011 | |
| Not Available |
| Full Name | Phillip Eric Rodgers |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 630 Northwest Ave, Durant, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619700481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 906890 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Attala | Kosciusko, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Medical Group Of Mississippi Llc | 8729973623 | 30 |
| Entity Name | Premier Medical Group Of Mississippi Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Eric Rodgers, FNP-C 13418 Attala Road 4101, Sallis, MS 39160-5242 Ph: (601) 613-7835 | Phillip Eric Rodgers, FNP-C 630 Northwest Ave, Durant, MS 39063-3337 Ph: (662) 653-3011 |
Marilyn Smith, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Dr Martin Luther King Dr, Durant, MS 39063 Phone: 662-739-9016 | |
Mr. Jabari Rashard Terrell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1674 Eddisville Rd, Durant, MS 39063 Phone: 662-528-1063 | |
Mrs. Sharon B Lofton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33795 Ms-12, Durant, MS 39063 Phone: 662-653-0505 Fax: 662-653-0466 |