| Stacey Nix, CFNP | |
|
1203 Jefferson Street, Ellisville, MS 39437 | |
| (601) 477-2226 | |
| (601) 477-2236 |
| Full Name | Stacey Nix |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 1203 Jefferson Street, Ellisville, 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 |
|---|---|---|---|
| 1154598357 | NPI | - | NPPES |
| 02370956 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R853221 (Mississippi) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R853221 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Central Clinics, Inc | 4385876655 | 117 |
| Entity Name | Ear,nose & Throat Surgical Clinic of South Central MS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033312772 PECOS PAC ID: 1456444546 Enrollment ID: O20070905000746 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Nix, CFNP Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6169 | Stacey Nix, CFNP 1203 Jefferson Street, Ellisville, MS 39437 Ph: (601) 477-2226 |
Mrs. Stephanie D. Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Hwy 11 S, Ellisville, MS 39437 Phone: 601-477-5770 |
Laken Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Avenue B, Ellisville, MS 39437 Phone: 601-477-8553 Fax: 601-477-9158 |
Jessie Watson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 Avenue B Ste 200, Ellisville, MS 39437 Phone: 601-477-3550 Fax: 601-477-2236 |
Bailee Cerra, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 B Ave, Ellisville, MS 39437 Phone: 601-477-8553 |
Marlana Perkins Hedgepeth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Hal Crocker Rd, Ellisville, MS 39437 Phone: 601-477-2221 Fax: 601-477-2223 |
Tony Earl Miller, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 604-649-7921 Fax: 601-649-7939 |
Jeri S England, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Court St, Ellisville, MS 39437 Phone: 601-477-4104 Fax: 601-399-6254 |