Aisha Renea Outlaw, FNP in Starkville, MS - Medicare Nurse Practitioner

Aisha Renea Outlaw, FNP is a medicare enrolled "Nurse Practitioner - Family" in Starkville, Mississippi. Her current practice location is 400 Hospital Rd, Starkville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 323-4320.

Aisha Renea Outlaw is licensed to practice in Mississippi (license number R866124) 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 1174980478.

Contact Information

	Aisha Renea Outlaw, FNP
	400 Hospital Rd, Starkville, MS 39759-2163
	(662) 323-4320
	Not Available

Map and Direction

Provider's Profile

Full Name	Aisha Renea Outlaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	400 Hospital Rd, Starkville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174980478
Provider Enumeration Date: 01/19/2016
Last Update Date: 01/19/2016

Medicare PECOS Information:

PECOS PAC ID: 8729387915
Enrollment ID: I20160421001848

Medical Identifiers

Medical identifiers for Aisha Renea Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174980478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R866124 (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. Aisha Renea Outlaw allows following entities to bill medicare on her behalf.

Entity Name	Och Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225202666 PECOS PAC ID: 9739252396 Enrollment ID: O20080716000169

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. Aisha Renea Outlaw 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
Aisha Renea Outlaw, FNP 103 Eudora Welty Drive, J-02, Starkville, MS 39759-2163 Ph: (662) 769-9781	Aisha Renea Outlaw, FNP 400 Hospital Rd, Starkville, MS 39759-2163 Ph: (662) 323-4320

Reviews and Comments

Nurse Practitioner Nurses in Starkville, MS

Mrs. Maggie Martin Fair, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Wilburn Way, Starkville, MS 39759 Phone: 662-323-9908 Fax: 662-323-8948
Mrs. Anna Cooper, WHNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Starkville, MS 39759 Phone: 662-323-4427
Erin Chandler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Hospital Rd, Starkville, MS 39759 Phone: 662-285-7700
Mrs. Rachel Romero Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1207 Highway 182 W, Starkville, MS 39759 Phone: 662-320-7800
Mrs. Mamie M Kosko, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Wilburn Way, Starkville, MS 39759 Phone: 662-320-4008 Fax: 662-320-2450
Mrs. Laura J Hare, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Russell St, Suite 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295
Meredith Patton Hartline, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Russell St Ste 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295

Aisha Renea Outlaw, FNP - Medicare Nurse Practitioner in Starkville, MS