Jennifer B Warren, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Southaven, Mississippi. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Medical Clinic Of North Ms Inc and her current practice location is
3495 Cobblestone Blvd S, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 892-2885.
Jennifer B Warren is licensed to practice in Mississippi (license number R879367) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174872626.
Physician's Profile
| Full Name | Jennifer B Warren |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 3495 Cobblestone Blvd S, Southaven, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer B Warren graduated from medical school in 2012
NPI Data:
- NPI Number: 1174872626
- Provider Enumeration Date: 08/30/2012
- Last Update Date: 03/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133378748
- Enrollment ID: I20120925000526
Medical Identifiers
Medical identifiers for Jennifer B Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174872626 | NPI | - | NPPES |
| 01028095 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | R879367 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R879367 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Medical Clinic Of North Ms Inc | 5294790861 | 11 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer B Warren allows following entities to bill medicare on her behalf.
| Entity Name | Family Medical Clinic Of North Ms Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134174154
PECOS PAC ID: 5294790861
Enrollment ID: O20041123000266 |
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| Entity Name | Desoto Family Wellness Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376143024
PECOS PAC ID: 2264845973
Enrollment ID: O20210119000425 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer B Warren is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jennifer B Warren, FNP-C
3495 Cobblestone Blvd S,
Southaven, MS 38672-7075
Ph: (662) 892-2885 | Jennifer B Warren, FNP-C
3495 Cobblestone Blvd S,
Southaven, MS 38672-7075
Ph: (662) 892-2885 |
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