Look up the most recent NPI and PECOS records

Melinda Bennett Delancey

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6766 U S Highway 98, Hattiesburg, MS 39402-8443

PECOS Enrollment

This provider is enrolled in PECOS as MELINDA DELANCEY.

Based on the most recent information from CMS, provider Melinda Bennett Delancey 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
1548201403
Provider Type
Individual
Full Name
Delancey, Melinda Bennett
Gender
Female

Sole Proprietor
No
Enumeration Date
6/9/2006
Last Updated
2/7/2023

Contact Information

Practice Location

6766 U S Highway 98, Hattiesburg, MS 39402-8443

(601) 549-4877

Unlisted Fax

Mailing Location

215 Springhill Dr, Hattiesburg, MS 39402-1233

(251) 404-3312

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R825528 Mississippi
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 825528 Mississippi

Provider Identifiers

ID	Description	Issuer
ID 00123607	Description Medicaid	Issuer Unlisted Mississippi

Melinda Bennett Delancey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Rahmanian, Maryam

Tomlinson, Donna Dimarco

Bartran, Lori H.

Barham, Kara Lynne

Monroe, Teresa S

Hammons, Joshua Cole

Nicholas, Jill

Loustalot, Fleetwood

Smith, Brandi Fennell

Roberts, Erin Kathleen