| Shelley S Leach, FNP | |
|
820 Mangum Ave, Mendenhall, MS 39114 | |
| (601) 847-5111 | |
| (601) 847-3060 |
| Full Name | Shelley S Leach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 820 Mangum Ave, Mendenhall, 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 |
|---|---|---|---|
| 1760615595 | NPI | - | NPPES |
| 00476391 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R863242 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Kindred At Home -flowood | Flowood, MS | Home health agency |
| Simpson General Hospital Cah | Mendenhall, MS | Hospital |
| Magee General Hospital | Magee, MS | Hospital |
| Entity Name | Simpson Community Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144339839 PECOS PAC ID: 5991709750 Enrollment ID: O20080630000299 |
| Entity Name | 121 Medical Place Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588106553 PECOS PAC ID: 9638454986 Enrollment ID: O20170328002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley S Leach, FNP 820 Mangum Ave, Mendenhall, MS 39114 Ph: (601) 847-5111 | Shelley S Leach, FNP 820 Mangum Ave, Mendenhall, MS 39114 Ph: (601) 847-5111 |
Mrs. Jodi Miller, FNP/AGACNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1842 Simpson Highway 149, Mendenhall, MS 39114 Phone: 601-847-7151 | |
Mr. Jason Randel Bowen, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1827c Simpson Highway 149, Mendenhall, MS 39114 Phone: 601-847-2224 Fax: 601-847-2199 | |
Nakecia Dungan Kinabrew, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1842 Simpson Highway 149, Mendenhall, MS 39114 Phone: 601-847-2221 | |
Peyton Lovelace, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1827 Simpson Highway 149 Ste C, Mendenhall, MS 39114 Phone: 601-847-2424 | |
Melissa Wheaton, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1847 Simpson Highway 149, Mendenhall, MS 39114 Phone: 601-675-7142 Fax: 601-675-7143 | |
Shenika Magee, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Ella Ln, Mendenhall, MS 39114 Phone: 601-382-7132 | |
Mary Lois Nevels, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3661 Simpson Highway 49, Mendenhall, MS 39114 Phone: 601-292-9350 Fax: 601-292-9351 |