Bianca Bullie-thompson, FNP-C, PMHNP-BC in Jackson, MS

Bianca Bullie-thompson, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jackson, Mississippi. Her current practice location is 1500 E Woodrow Wilson, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 362-4471.

Bianca Bullie-thompson is licensed to practice in Mississippi (license number 2022153286) 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 1083981757.

Contact Information

	Bianca Bullie-thompson, FNP-C, PMHNP-BC
	1500 E Woodrow Wilson, Jackson, MS 39216
	(601) 362-4471
	(601) 368-4089

Map and Direction

Provider's Profile

Full Name	Bianca Bullie-thompson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1500 E Woodrow Wilson, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083981757
Provider Enumeration Date: 11/24/2011
Last Update Date: 06/04/2025

Medicare PECOS Information:

PECOS PAC ID: 1951535087
Enrollment ID: I20250611004269

Medical Identifiers

Medical identifiers for Bianca Bullie-thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083981757	NPI	-	NPPES
2022153286	Other		PMHNP - ANCC
F1111175	Other		NATIONAL NURSE PRACTITIONER LICENSE
RN867841	Other	MS	MS BOARD OF NURSING LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	867841 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2022153286 (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. Bianca Bullie-thompson allows following entities to bill medicare on her behalf.

Entity Name	Renewed Hope Wellness Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639973720 PECOS PAC ID: 5698285286 Enrollment ID: O20250611004257

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. Bianca Bullie-thompson 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
Bianca Bullie-thompson, FNP-C, PMHNP-BC 1500 E Woodrow Wilson, Jackson, MS 39216 Ph: (601) 362-4471	Bianca Bullie-thompson, FNP-C, PMHNP-BC 1500 E Woodrow Wilson, Jackson, MS 39216 Ph: (601) 362-4471

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Mrs. Christian R Fortenberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 Fax: 601-200-4580
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Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503

Bianca Bullie-thompson, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Jackson, MS