| Shirley C Page, FNP | |
|
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
| (601) 268-5700 | |
| (601) 268-5777 |
| Full Name | Shirley C Page |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 415 S 28th Ave, 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 |
|---|---|---|---|
| 1730295619 | NPI | - | NPPES |
| 09550526 | Medicaid | MS | |
| 812683366A | Medicaid | GA | |
| 9724412 | Other | MS | AETNA |
| P00974932 | Other | MS | RAILROAD MEDICARE |
| P00622808 | Other | MS | RAILROAD MEDICARE |
| P00815523 | Other | MS | RAILROAD MCARE THRU HCCN |
| 1049336 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R634875 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wayne General Hospital | Waynesboro, MS | Hospital |
| Walthall County General Hospital Cah | Tylertown, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Urgent Care Llc | 4981913308 | 11 |
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Entity Name | Petal Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982908877 PECOS PAC ID: 9133303811 Enrollment ID: O20110404000578 |
| Entity Name | Hattiesburg Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164805156 PECOS PAC ID: 4981913308 Enrollment ID: O20151024000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley C Page, FNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5700 | Shirley C Page, FNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5700 |
Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321 | |
Sarah Alyssa Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 | |
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500 | |
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503 | |
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212 | |
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755 |