Chandler Mims Dalton, in Oxford, MS - Medicare Nurse Practitioner

Chandler Mims Dalton, is a medicare enrolled "Nurse Practitioner - Family" in Oxford, Mississippi. Her current practice location is 1205 Office Park Dr Ste A, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 638-3412.

Chandler Mims Dalton is licensed to practice in Mississippi (license number 904927) 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 1750901328.

Contact Information

	Chandler Mims Dalton,
	1205 Office Park Dr Ste A, Oxford, MS 38655-3546
	(662) 638-3412
	Not Available

Map and Direction

Provider's Profile

Full Name	Chandler Mims Dalton
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1205 Office Park Dr Ste A, Oxford, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750901328
Provider Enumeration Date: 04/23/2020
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 0345636379
Enrollment ID: I20220510002415

Medical Identifiers

Medical identifiers for Chandler Mims Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750901328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	901117 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	904927 (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. Chandler Mims Dalton allows following entities to bill medicare on her behalf.

Entity Name	Express Care Of Cleveland, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780151381 PECOS PAC ID: 0547502387 Enrollment ID: O20190429000343

Entity Name	Oxford Specialty Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124632716 PECOS PAC ID: 8729408059 Enrollment ID: O20201026001596

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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. Chandler Mims Dalton 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
Chandler Mims Dalton, 212 Olde Castle Loop, Oxford, MS 38655-6012 Ph: () -	Chandler Mims Dalton, 1205 Office Park Dr Ste A, Oxford, MS 38655-3546 Ph: (662) 638-3412

Reviews and Comments

Nurse Practitioner Nurses in Oxford, MS

Mrs. Rachel Jamison Sledge, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Belk Blvd, Oxford, MS 38655 Phone: 662-234-1090 Fax: 662-234-0432
Shavonne Bridgette Doyle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2908 S Lamar Blvd Ste 100, Oxford, MS 38655 Phone: 662-281-0112
Kathryn B Elliott, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Azalea Dr, Oxford, MS 38655 Phone: 662-234-0332 Fax: 662-234-2891
Katherine Waters Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655 Phone: 662-244-2288 Fax: 662-636-2285
Michelle Cullen, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1109 N Lamar Blvd, Suite 1, Oxford, MS 38655 Phone: 662-238-7860 Fax: 662-238-7871
Jene' White Smith, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1397 Belk Blvd, Oxford, MS 38655 Phone: 662-236-4675 Fax: 662-281-0819
Tammy L. Pelegrin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Azalea Dr, Ste A, Oxford, MS 38655 Phone: 662-236-7738 Fax: 662-236-9642

Chandler Mims Dalton, - Medicare Nurse Practitioner in Oxford, MS