| Shannon Haney Loftin, FNP-C | |
|
502 Broad St, Columbia, MS 39429-3037 | |
| (601) 736-8282 | |
| (601) 736-8333 |
| Full Name | Shannon Haney Loftin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 502 Broad St, Columbia, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609226109 | NPI | - | NPPES |
| 01808562 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 901706 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 901706 (Mississippi) | Primary |
| Entity Name | Keystone Medical Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | Southwest Mississippi Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245289172 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000089 |
| Entity Name | Southwest Mississippi Regional Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1932211851 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000285 |
| Entity Name | Keystone Hospitalist Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
| Entity Name | Rh Emergency Medicine Of Perry County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740058650 PECOS PAC ID: 8022461573 Enrollment ID: O20240131002979 |
| Entity Name | Rh Emergency Medicine Of Pearl River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265206544 PECOS PAC ID: 9032562384 Enrollment ID: O20240202000443 |
| Entity Name | Rh Hospitalist Medicine Of Perry County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821866740 PECOS PAC ID: 4688017619 Enrollment ID: O20240207000960 |
| Entity Name | Rh Hospitalist Medicine Of Walthall General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053173237 PECOS PAC ID: 2365881091 Enrollment ID: O20240415002150 |
| Entity Name | Rh Emergency Medicine Of Jefferson Davis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356103527 PECOS PAC ID: 4789023201 Enrollment ID: O20240417001265 |
| Entity Name | Rh Emergency Medicine Of Walthall General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336901511 PECOS PAC ID: 7517306830 Enrollment ID: O20240419001361 |
| Entity Name | Rh Hospitalist Medicine Of Jefferson Davis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174385355 PECOS PAC ID: 6103265145 Enrollment ID: O20240423003254 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Haney Loftin, FNP-C 1065 E Broad St, Monticello, MS 39654-7703 Ph: (601) 587-4051 | Shannon Haney Loftin, FNP-C 502 Broad St, Columbia, MS 39429-3037 Ph: (601) 736-8282 |
Alicia Brister, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 914 Sumrall Rd, Columbia, MS 39429 Phone: 601-731-1470 Fax: 601-731-1474 | |
Mrs. Marquita Tucker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Highway 98 Byp, Columbia, MS 39429 Phone: 601-522-2095 | |
Lauren Hurst, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-736-6303 | |
Brenda K Thornhill, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 912 Sumrall Rd, Columbia, MS 39429 Phone: 601-736-6443 Fax: 601-736-2543 | |
Ms. Ronda M. Vanderheiden, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-261-2940 Fax: 601-261-2942 | |
Nancy F Easterling, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 914 Sumrall Rd, Columbia, MS 39429 Phone: 601-731-1470 Fax: 601-731-1474 |