| Tonjia S Lang, FNP | |
| 
					4739 Highway 587, Monticello, MS 39654-9199  | |
| (601) 695-3745 | |
| Not Available | 
| Full Name | Tonjia S Lang | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 4739 Highway 587, Monticello, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205548229 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905663 (Mississippi) | Primary | 
| Entity Name | Extended Care Clinical Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134741945 PECOS PAC ID: 5092137844 Enrollment ID: O20200624000330  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tonjia S Lang, FNP 4739 Highway 587, Monticello, MS 39654-9199 Ph: (601) 695-3745  | Tonjia S Lang, FNP 4739 Highway 587, Monticello, MS 39654-9199 Ph: (601) 695-3745  | 
Mrs. Rebecca Hussey Burris, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 F. E. Sellers Highway, Monticello, MS 39654 Phone: 601-587-4648 Fax: 601-587-0613  | |
Becky Jan Mercier, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256  | |
Molly Grubbs Mayhugh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Main St Ste D, Monticello, MS 39654 Phone: 601-587-4304 Fax: 601-587-4515  | |
Genie B Vaughan, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256  | |
Julie M Thomas, PMNHP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 149 Jefferson St S Ste A, Monticello, MS 39654 Phone: 601-393-1953 Fax: 833-449-2018  | |
Jacentha Latress Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 271 F E Sellers Hwy, Monticello, MS 39654 Phone: 601-582-5805  | |
Rhonda Joyce Thomas, FNP-C, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256  |