| Sonja Pennington, CNP | |
|
2372 Us-49e Unit 240, Sumner, MS 38957 | |
| (662) 375-9310 | |
| (662) 375-9311 |
| Full Name | Sonja Pennington |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2372 Us-49e Unit 240, Sumner, 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 |
|---|---|---|---|
| 1386180610 | NPI | - | NPPES |
| 00721224 | Medicaid | MS | |
| 00176836 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 901711 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Greenwood, MS | Home health agency |
| Sunflower Home Health | Cleveland, MS | Home health agency |
| Adoration Home Health Care Mississippi | Cleveland, MS | Home health agency |
| Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
| Entity Name | Cassidy Bayou Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376181990 PECOS PAC ID: 4981030319 Enrollment ID: O20200204000808 |
| Mailing Address | Practice Location Address |
|---|---|
| Sonja Pennington, CNP Po Box 115, Sumner, MS 38957-0115 Ph: () - | Sonja Pennington, CNP 2372 Us-49e Unit 240, Sumner, MS 38957 Ph: (662) 375-9310 |
Tasha Rucker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2372 Us49-e, Sumner, MS 38957 Phone: 662-375-9310 | |
Mr. Robert L Tucker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2372 Hwy 49 East, Sumner, MS 38957 Phone: 662-375-9310 | |
Mrs. Barbara Dew Criswell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Court St, Sumner, MS 38957 Phone: 662-375-9989 Fax: 662-375-8762 |