Twanda Vershun Longino (NPI# 1326485558, PAC ID# 9931465531) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1326485558 |
| PAC ID by PECOS | 9931465531 |
| Professional Enrollment ID | I20171115001517 |
| Full Name | Twanda Vershun Longino |
| Organization Legal Name | SENTRY REHAB LLC |
| Address |
6100 Old Brandon Rd Brandon MS 39042-2543 |
| Phone Number | 6019331100 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8325271943 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6100 Old Brandon Rd, Brandon, MS 39042-2543 | 6019331100 | SENTRY REHAB LLC |
| Organization Legal Name | SENTRY REHAB LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendra S Gardner | Nurse Practitioner | Sentry Rehab LLC | 725 Dunbar Ave, Bay St Louis, MS 39520-2920 |
| Mylissa Hodges | Occupational Therapy | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Peaches Palmer | Nurse Practitioner | Sentry Rehab LLC | 725 Dunbar Ave, Bay St Louis, MS 39520-2920 |
| Kristy L Taylor | Qualified Speech Language Pathologist | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Street Address |
6100 OLD BRANDON RD |
| City | BRANDON |
| State | MS |
| Zip | 39042-2543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mylissa Hodges | Occupational Therapy | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Kristy L Taylor | Qualified Speech Language Pathologist | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence E Tamburino | Podiatry | 103 Service Dr, Brandon, MS 39042-2401 | |
| Meseret Teferra | Internal Medicine | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Arbie B Hinton | Family Medicine | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Esquanickia Fletcher | Nurse Practitioner | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Darryl Wheat | Clinical Social Worker | 1700 W Government St, Bldg A Suite G, Brandon, MS 39042-2420 | |
| Constantine P Zouboukos | Anesthesiology | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| David L Smith | Infectious Disease | Flowood River Oaks Hma Medical Group, LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Mollie Slaughter Harrell | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Joshua Williams | Internal Medicine | Mississippi Hma Hospitalists LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Elizabeth Mccord | Nurse Practitioner | App of Mississippi Ed LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Find all physicians in zip 39042 | |||
| City | BRANDON |
| Zip Code | 39042 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BRANDON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Twanda Vershun Longino.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.