| Phillip Eric Rodgers, FNP-C | |
|
332 Highway 12 W, Kosciusko, MS 39090-3209 | |
| (662) 289-1800 | |
| Not Available |
| Full Name | Phillip Eric Rodgers |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 332 Highway 12 W, Kosciusko, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619700481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 906890 (Mississippi) | Primary |
| 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 332 Highway 12 W, Kosciusko, MS 39090-3209 Ph: (662) 289-1800 |
Mrs. Mary Katherine Lawrence, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Highway 12 W, Kosciusko, MS 39090 Phone: 662-290-3150 Fax: 662-290-3160 | |
Annette Cross, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4066 Attala Road 1110, Kosciusko, MS 39090 Phone: 166-261-4881 | |
Mr. Timothy M. South, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1800 Fax: 662-289-2486 | |
Mrs. Joy W Reynolds, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3099 Attala Road 1213, Kosciusko, MS 39090 Phone: 662-289-8022 Fax: 662-289-8022 | |
Kimberly Michele Myer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Highway 12 W, Kosciusko, MS 39090 Phone: 662-290-3150 | |
Kayla Barnett Ferguson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1900 Fax: 662-289-2486 | |
Mrs. Linda B Cockroft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-9155 Fax: 662-289-2776 |