Brent Lee Hallmark, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Tupelo, MS

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Brent Lee Hallmark, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tupelo, Mississippi. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Boa Vida Hospital Of Aberdeen Ms Llc and his current practice location is 830 S Gloster St, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-3000.

Brent Lee Hallmark is licensed to practice in Mississippi (license number 904192) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093313397.

Contact Information

Brent Lee Hallmark, MSN, APRN, FNP-C
830 S Gloster St,
Tupelo, MS 38801-4934
(662) 377-3000
Not Available

Map and Direction




Provider's Profile

Full NameBrent Lee Hallmark
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location830 S Gloster St, Tupelo, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brent Lee Hallmark graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1093313397
  • Provider Enumeration Date: 10/09/2020
  • Last Update Date: 10/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0446643308
  • Enrollment ID: I20220217000989

Medical Identifiers

Medical identifiers for Brent Lee Hallmark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093313397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904192 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Monroe Regional HospitalAberdeen, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boa Vida Hospital Of Aberdeen Ms Llc024450584037

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. Brent Lee Hallmark allows following entities to bill medicare on his behalf.
Entity NameNorth Mississippi Medical Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053469486
PECOS PAC ID: 6103736665
Enrollment ID: O20040127000582
Entity NameNorth Mississippi Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541
Entity NameBoa Vida Hospital Of Aberdeen Ms Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710405741
PECOS PAC ID: 0244505840
Enrollment ID: O20171128003460
Entity NameNorth Mississippi Gilmore Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225502370
PECOS PAC ID: 2961745195
Enrollment ID: O20190510000063

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. Brent Lee Hallmark 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 AddressPractice Location Address
Brent Lee Hallmark, MSN, APRN, FNP-C
108 Burma Cv,
Saltillo, MS 38866-6992

Ph: () -		Brent Lee Hallmark, MSN, APRN, FNP-C
830 S Gloster St,
Tupelo, MS 38801-4934

Ph: (662) 377-3000

Reviews and Comments


Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 845 South Gloster Street, Tupelo, MS 38801
Phone: 662-377-5930    
Mrs. Rebecca Perry Ward, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801
Phone: 662-377-7354    Fax: 662-377-5301
Ms. Wanda Ikeda, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801
Phone: 662-620-6800    Fax: 662-377-2403
Mrs. Tina King, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801
Phone: 662-844-9885    Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801
Phone: 662-840-6026    Fax: 662-840-6030
Jennifer L Taylor, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 205-412-0585    
Kalisa Mickell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.