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Judy Pamela Skaggs

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9 Willow Bend Dr, Hattiesburg, MS 39402-8552

PECOS Enrollment

This provider is enrolled in PECOS as JUDY SKAGGS.

Based on the most recent information from CMS, provider Judy Pamela Skaggs is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1467688986
Provider Type
Individual
Full Name
Skaggs, Judy Pamela
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/10/2009
Last Updated
7/7/2010

Contact Information

Practice Location

9 Willow Bend Dr, Hattiesburg, MS 39402-8552

(601) 296-2552

(601) 296-2554

Mailing Location

PO Box 17708, Hattiesburg, MS 39404-7708

(601) 296-2552

(601) 296-2554

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R685399 Mississippi

Judy Pamela Skaggs

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Monroe, Teresa S

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Cochran, Shelley S

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