Mrs Ann Michelle Porter, NP is a medicare enrolled "Nurse Practitioner" physician in Jackson, Mississippi. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aids Healthcare Foundation and her current practice location is
766 Lakeland Dr # A, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 368-3440.
Mrs Ann Michelle Porter is licensed to practice in Mississippi (license number R822501) 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 1588856959.
Physician's Profile
| Full Name | Mrs Ann Michelle Porter |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 27 Years |
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| Location | 766 Lakeland Dr # A, Jackson, 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:
- Mrs Ann Michelle Porter graduated from medical school in 1997
NPI Data:
- NPI Number: 1588856959
- Provider Enumeration Date: 08/09/2007
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072696178
- Enrollment ID: I20080213000242
Medical Identifiers
Medical identifiers for Mrs Ann Michelle Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588856959 | NPI | - | NPPES |
| 03258395 | Medicaid | MS | |
| 0292891-22 | Other | MS | BOARD CERTIFICATION |
| R822501 | Other | MS | NURSING LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RI0200X | Internal Medicine - Infectious Disease | R822501 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R822501 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | R822501 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aids Healthcare Foundation | 2668369109 | 84 |
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. Mrs Ann Michelle Porter allows following entities to bill medicare on her behalf.
| Entity Name | Aids Healthcare Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255688057
PECOS PAC ID: 2668369109
Enrollment ID: O20151005003100 |
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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. Mrs Ann Michelle Porter 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 |
|---|
Mrs Ann Michelle Porter, NP
6255 W Sunset Blvd Fl 21,
Los Angeles, CA 90028-7422
Ph: (323) 860-5200 | Mrs Ann Michelle Porter, NP
766 Lakeland Dr # A,
Jackson, MS 39216-4610
Ph: (601) 368-3440 |
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