| Teresa Kaye Stegall, NP | |
|
1300 Sunset Dr, Ste A, Grenada, MS 38901-4081 | |
| (662) 226-1646 | |
| (662) 227-1599 |
| Full Name | Teresa Kaye Stegall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 1300 Sunset Dr, Grenada, Mississippi |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649550708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R831167 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | MSR831167 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Panola Physician Group Llc | 2668715624 | 14 |
| Fast Pace Mississippi Pllc | 3678832029 | 170 |
| Entity Name | Joseph S Messina Jr Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891912226 PECOS PAC ID: 7719949684 Enrollment ID: O20041102000993 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Panola Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528528874 PECOS PAC ID: 2668715624 Enrollment ID: O20190515002618 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Kaye Stegall, NP 700 Sunset Dr, Grenada, MS 38901-4091 Ph: (662) 307-2884 | Teresa Kaye Stegall, NP 1300 Sunset Dr, Ste A, Grenada, MS 38901-4081 Ph: (662) 226-1646 |
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 | |
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 Fax: 662-227-3740 | |
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 |