| Toni L Ladner, PMHNP-BC | |
|
1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 | |
| (601) 665-4162 | |
| (855) 830-3484 |
| Full Name | Toni L Ladner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 1911 Mission 66 Ste B, Vicksburg, 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 |
|---|---|---|---|
| 1922374057 | NPI | - | NPPES |
| 01583061 | Medicaid | MS | |
| 00018213 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | R850484 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 850484 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Behavioral Consultant Solutions, Llc | 1951777572 | 7 |
| Medical Systems Management, Llc | 5092964643 | 36 |
| Entity Name | Pearl River County Hospital & Nursing Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003026717 PECOS PAC ID: 5496704363 Enrollment ID: O20050118000715 |
| Entity Name | Md Billing, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548474042 PECOS PAC ID: 0648210831 Enrollment ID: O20050506000374 |
| Entity Name | Medical Systems Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740555267 PECOS PAC ID: 5092964643 Enrollment ID: O20131024001113 |
| Entity Name | Mdb Behavioral Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
| Entity Name | Behavioral Consultant Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275282311 PECOS PAC ID: 1951777572 Enrollment ID: O20221021001154 |
| Mailing Address | Practice Location Address |
|---|---|
| Toni L Ladner, PMHNP-BC 1600 Broad Ave, Gulfport, MS 39501-3603 Ph: (228) 863-1132 | Toni L Ladner, PMHNP-BC 1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 Ph: (601) 665-4162 |