Tomekia Yvette Luckett, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Monticello, MS
NPI 1891553210 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1891553210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 863896 (MS)
- Practice address
- 314 Main St Ste B
Monticello, MS 39654-3702 - Phone
- (601) 393-1953
- Fax
- (601) 393-1954
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uppal Medical Center LLC
MDB Behavioral Health Services LLC
MD Billing, LLC
Amite County Medical Services Inc
Practice addresses (Care Compare)
1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830
1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598
557 Grants Ferry Rd
Brandon, MS 39047-9023
Phone (601) 951-9863
P O Box
Suite 511
Liberty, MS 39645-0511
PO Box
Suite 511
Liberty, MS 39645-0511
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240410000333 | MS | Practitioner - Nurse Practitioner | 2860830825 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 863896 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amite County Medical Services, Inc. | Current |
Accepting new patients | |
| Caring Hands Behavioral Health and Wellness LLC | Current |
Accepting new patients | |
| MD Billing, LLC | Current |
Accepting new patients | |
| MDB Behavioral Health Services LLC | Current |
Accepting new patients | |
| A Safe Place Wellness Solutions LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Amite County Medical Services, Inc. | Current |
Accepting new patients | |
| MDB Care Management LLC | Current |
Accepting new patients |
Locations
557 Grants Ferry Rd
Brandon, MS 39047
Phone (601) 207-2017
215 Katherine Dr
#A
Jackson, MS 39232
29 Second St W
Ste B
Meadville, MS 39653
Phone (601) 393-1953
314 Main St
Ste B
Monticello, MS 39654
Phone (601) 393-1953
Interoperability endpoints
- https://api.platform.athenahealth.com/22116/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 863896 | MS | Yes |
Addresses
Primary practice location
314 Main St Ste B
Monticello, MS 39654-3702
Mailing address
PO Box 1400
Monticello, MS 39654-1400
Phone (601) 393-1953
Other providers in Monticello, MS
- James W Stephens MD Family Medicine PLLC
- Jones County Medical Supplies, Inc
- Tonjia S Lang
- Lawrence County Drugs, Inc.
- Kimberly Lewis
- Jennifer Lashon May
- Molly Grubbs Mayhugh
- MC Medical Inc
- Kiley Selman McLendon
- Stephanie Leanne McNeese
All providers in Monticello, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.