Avery Nash, NP is a medicare enrolled "Nurse Practitioner - Family" in Gluckstadt, Mississippi. Her current practice location is
101 Lexington Dr Ste A, Gluckstadt, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 707-3771.
Avery Nash is licensed to practice in Mississippi (license number 906808) 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 1588481733.
Provider's Profile
| Full Name | Avery Nash |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 101 Lexington Dr Ste A, Gluckstadt, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588481733
- Provider Enumeration Date: 09/20/2024
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618400060
- Enrollment ID: I20241024001045
Medical Identifiers
Medical identifiers for Avery Nash such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588481733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 906808 (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. Avery Nash allows following entities to bill medicare on her behalf.
| Entity Name | Gluckstadt Tc Kids, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255947297
PECOS PAC ID: 5496160210
Enrollment ID: O20210209000428 |
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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. Avery Nash 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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Avery Nash, NP
119 Greens View Dr,
Madison, MS 39110-8050
Ph: (601) 421-1075 | Avery Nash, NP
101 Lexington Dr Ste A,
Gluckstadt, MS 39110-6986
Ph: (601) 707-3771 |
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