| Rebecca Kathryn Privon, FNP-C | |
|
4 Medical Blvd, Hattiesburg, MS 39401-7230 | |
| (601) 579-5444 | |
| (601) 579-3083 |
| Full Name | Rebecca Kathryn Privon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 4 Medical Blvd, Hattiesburg, 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 |
|---|---|---|---|
| 1740691708 | NPI | - | NPPES |
| 08388778 | Medicaid | MS | |
| P01361202 | Other | MS | RAILROAD MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Arthritis And Osteoporosis Center Pc | 2769495464 | 5 |
| Entity Name | Idaho Arthritis & Osteoporosis Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770539298 PECOS PAC ID: 2769495464 Enrollment ID: O20060728000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Kathryn Privon, FNP-C 3277 E Louise Dr, Ste 350, Meridian, ID 83642-5510 Ph: (208) 887-9500 | Rebecca Kathryn Privon, FNP-C 4 Medical Blvd, Hattiesburg, MS 39401-7230 Ph: (601) 579-5444 |
John Cade Hathorn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15 Paradise Ln, Hattiesburg, MS 39402 Phone: 601-408-0295 | |
Amber Ryals, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2200 Hardy St Ste 30, Hattiesburg, MS 39401 Phone: 601-318-0669 Fax: 601-620-4302 | |
Stevany Jackson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 64 Oak St, Hattiesburg, MS 39402 Phone: 601-520-2109 | |
Mrs. Mona Jill Graham Alexander, FNP-BC, CNOR, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6169 Hwy 98 W, Suite 30, Hattiesburg, MS 39402 Phone: 601-602-5000 Fax: 601-602-5003 | |
Mr. Jacob Daniel Kay, MSN, RN, APRN, PMHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2255 Broadway Dr, Hattiesburg, MS 39402 Phone: 601-288-4800 Fax: 601-288-4960 | |
Jamaica Chapman, DNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 118 College Dr, Hattiesburg, MS 39406 Phone: 601-266-1000 | |
Mr. Corvell Coburn, LCSW, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 262 King Rd, Hattiesburg, MS 39402 Phone: 662-769-1024 |