Dallas Maxwell Earnest, FNP in Clarksdale, MS

Dallas Maxwell Earnest, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clarksdale, Mississippi. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family First Clinic Of Clarksdale Pllc and her current practice location is 1015 Lee Dr Ste 13, Clarksdale, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 592-4170.

Dallas Maxwell Earnest is licensed to practice in Mississippi (license number R868182) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376752832.

Contact Information

	Dallas Maxwell Earnest, FNP
	1015 Lee Dr Ste 13, Clarksdale, MS 38614-3619
	(662) 592-4170
	(662) 269-0226

Map and Direction

Provider's Profile

Full Name	Dallas Maxwell Earnest
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	1015 Lee Dr Ste 13, Clarksdale, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dallas Maxwell Earnest graduated from nursing school in 2006

NPI Data:

NPI Number: 1376752832
Provider Enumeration Date: 05/22/2007
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 4789753252
Enrollment ID: I20110119000394

Medical Identifiers

Medical identifiers for Dallas Maxwell Earnest such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376752832	NPI	-	NPPES
09128041	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12310 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	R868182 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sta Home Health And Hospice	Greenwood, MS	Home health agency
Sunflower Home Health	Cleveland, MS	Home health agency
Northwest Mississippi Medical Center	Clarksdale, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family First Clinic Of Clarksdale Pllc	6800054297	2

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. Dallas Maxwell Earnest allows following entities to bill medicare on her behalf.

Entity Name	Family First Clinic Of Clarksdale Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215206016 PECOS PAC ID: 6800054297 Enrollment ID: O20120214000472

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. Dallas Maxwell Earnest 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
Dallas Maxwell Earnest, FNP 1015 Lee Dr Ste 13, Clarksdale, MS 38614-3619 Ph: (662) 592-4170	Dallas Maxwell Earnest, FNP 1015 Lee Dr Ste 13, Clarksdale, MS 38614-3619 Ph: (662) 592-4170

Reviews and Comments

Nurse Practitioner Nurses in Clarksdale, MS

Margaret Chandler Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2245 N State St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-4131
Mrs. Regina Denise Groner, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 619 S State St, Clarksdale, MS 38614 Phone: 662-966-1012
Gwenevere Chew, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Desoto Avenue Ext, Clarksdale, MS 38614 Phone: 662-741-2151 Fax: 662-741-2700
Anna Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Sunflower Ave, Clarksdale, MS 38614 Phone: 662-351-2035 Fax: 662-351-2045
Lashonda Lashay Bradley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1967 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-5481 Fax: 662-621-1499
Dr. Carleen Thompson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1402 Miller Dr, Clarksdale, MS 38614 Phone: 662-627-8694
Undra L Haggan, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 Desoto Ave, Clarksdale, MS 38614 Phone: 662-202-1297

Dallas Maxwell Earnest, FNP - Medicare Nurse Practitioner in Clarksdale, MS