| Tippini K Conley, CFNP | |
|
14101 Hickory Street, Oakland, MS 38948-0000 | |
| (662) 623-7319 | |
| (662) 473-4991 |
| Full Name | Tippini K Conley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 14101 Hickory Street, Oakland, 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 |
|---|---|---|---|
| 1275789935 | NPI | - | NPPES |
| 512I500752 | Other | MS | MEDICARE PTAN |
| 01802340 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R866055 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Greenwood, MS | Home health agency |
| Yalobusha General Hospital | Water valley, MS | Hospital |
| Tallahatchie Critical Access Hospital | Charleston, MS | Hospital |
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yalobusha General Hospital | 4486601648 | 20 |
| Entity Name | Yalobusha General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740380914 PECOS PAC ID: 4486601648 Enrollment ID: O20050331000530 |
| Entity Name | Progressive Medical Management Of Batesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265 |
| Mailing Address | Practice Location Address |
|---|---|
| Tippini K Conley, CFNP 14101 Hickory Street, Oakland, MS 38948-0000 Ph: (662) 623-7319 | Tippini K Conley, CFNP 14101 Hickory Street, Oakland, MS 38948-0000 Ph: (662) 623-7319 |
Mrs. Keyaira Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1729 Adams Rd, Oakland, MS 38948 Phone: 662-326-0554 |