Shonda Jacqueline Phelon, CFNP; PMHNP in Grenada, MS

Shonda Jacqueline Phelon, CFNP; PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grenada, Mississippi. Her current practice location is 1970 Grandview Dr, Grenada, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 227-3700.

Shonda Jacqueline Phelon is licensed to practice in Mississippi (license number R734347) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194947754.

Contact Information

	Shonda Jacqueline Phelon, CFNP; PMHNP
	1970 Grandview Dr, Grenada, MS 38901-5066
	(662) 227-3700
	(662) 227-3740

Map and Direction

Provider's Profile

Full Name	Shonda Jacqueline Phelon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1970 Grandview Dr, Grenada, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194947754
Provider Enumeration Date: 05/03/2007
Last Update Date: 02/02/2010

Medicare PECOS Information:

PECOS PAC ID: 8527223627
Enrollment ID: I20120622000025

Medical Identifiers

Medical identifiers for Shonda Jacqueline Phelon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194947754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R734347 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R734347 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shonda Jacqueline Phelon allows following entities to bill medicare on her behalf.

Entity Name	Region Vi Community Mental Health Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154433233 PECOS PAC ID: 0749183663 Enrollment ID: O20040129000045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shonda Jacqueline Phelon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shonda Jacqueline Phelon, CFNP; PMHNP Po Box 1505, Greenwood, MS 38935-1505 Ph: (662) 453-6211	Shonda Jacqueline Phelon, CFNP; PMHNP 1970 Grandview Dr, Grenada, MS 38901-5066 Ph: (662) 227-3700

Reviews and Comments

Nurse Practitioner Nurses in Grenada, MS

Mrs. Agnes Pamela Upchurch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901 Phone: 662-229-0669 Fax: 662-227-9929
Anna Cooper, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Van Dorn St Ste A, Grenada, MS 38901 Phone: 662-226-0325
Mrs. Ashley Nicole Woods, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Broadfield Dr, Grenada, MS 38901 Phone: 662-809-2419
Latia Monanette Butts, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104
Alison Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901 Phone: 662-226-0110
Ralph T Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104

Shonda Jacqueline Phelon, CFNP; PMHNP - Medicare Nurse Practitioner in Grenada, MS