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Rechendia Carpenter

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

8 Saint Landry Cv, Hattiesburg, MS 39402-8869

PECOS Enrollment

Based on the most recent information from CMS, provider Rechendia Carpenter is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1740972033
Provider Type
Individual
Full Name
Carpenter, Rechendia
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
5/24/2023
Last Updated
5/24/2023

Contact Information

Practice Location

8 Saint Landry Cv, Hattiesburg, MS 39402-8869

(601) 402-4235

(601) 620-4302

Mailing Location

23 Cross Hl, Hattiesburg, MS 39402-7519

(601) 543-4944

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 905521 Mississippi

Rechendia Carpenter

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Roberts, Lauren Nicole

Key, Emily

Wallace, Susan R

Heidelburg, Tavithia

Marsh, John E.

Scrape, Sara J.

Nelson, Ariale Marie

Barham, Kara Lynne

Perkins, Kayla Leigh Ashley

Robertson, Sherri A