Mrs Tabitha Snowdy, FNP is a medicare enrolled "Nurse Practitioner" physician in Jackson, Mississippi. Her current practice location is
971 Lakeland Dr Ste 954, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 200-4714.
Mrs Tabitha Snowdy is licensed to practice in Mississippi (license number 858634) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477580819.
Physician's Profile
Full Name | Mrs Tabitha Snowdy |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 971 Lakeland Dr Ste 954, Jackson, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477580819
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729043005
- Enrollment ID: I20041129000441
Medical Identifiers
Medical identifiers for Mrs Tabitha Snowdy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477580819 | NPI | - | NPPES |
00125175 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0200X | Internal Medicine - Infectious Disease | R858634 (Mississippi) | Secondary |
363L00000X | Nurse Practitioner | 858634 (Mississippi) | Primary |
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 Tabitha Snowdy allows following entities to bill medicare on her behalf.
Entity Name | St. Dominic Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
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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 Tabitha Snowdy 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 Tabitha Snowdy, FNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-4970 | Mrs Tabitha Snowdy, FNP 971 Lakeland Dr Ste 954, Jackson, MS 39216-4609 Ph: (601) 200-4714 |
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