Fred Allen Rayburn Jr, FNP - BC in Tupelo, MS

Fred Allen Rayburn Jr, FNP - BC is a medicare enrolled "Nurse Practitioner - Family" in Tupelo, Mississippi. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nephrology And Hypertension Associates Ltd and his current practice location is 848 S Madison St, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 844-4177.

Fred Allen Rayburn Jr is licensed to practice in Mississippi (license number 903556) 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 1700437076.

Contact Information

	Fred Allen Rayburn Jr, FNP - BC
	848 S Madison St, Tupelo, MS 38801-4905
	(662) 844-4177
	Not Available

Map and Direction

Provider's Profile

Full Name	Fred Allen Rayburn Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	848 S Madison St, Tupelo, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fred Allen Rayburn Jr graduated from nursing school in 2019

NPI Data:

NPI Number: 1700437076
Provider Enumeration Date: 09/26/2019
Last Update Date: 09/26/2019

Medicare PECOS Information:

PECOS PAC ID: 3072947720
Enrollment ID: I20200106000937

Medical Identifiers

Medical identifiers for Fred Allen Rayburn Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700437076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903556 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Center	Tupelo, MS	Hospital
University Of Mississippi Medical Center- Grenada	Grenada, MS	Hospital
Baptist Memorial Hospital North Ms	Oxford, MS	Hospital
Greenwood Leflore Hospital	Greenwood, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nephrology And Hypertension Associates Ltd	1254327554	17

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. Fred Allen Rayburn Jr allows following entities to bill medicare on his behalf.

Entity Name	Nephrology & Hypertension Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902975139 PECOS PAC ID: 1254327554 Enrollment ID: O20040422000554

Entity Name	Midnight-medical, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770727257 PECOS PAC ID: 9436284239 Enrollment ID: O20100318000597

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. Fred Allen Rayburn Jr 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
Fred Allen Rayburn Jr, FNP - BC 4611 Toxish Rd, Pontotoc, MS 38863-7080 Ph: (662) 488-5658	Fred Allen Rayburn Jr, FNP - BC 848 S Madison St, Tupelo, MS 38801-4905 Ph: (662) 844-4177

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

Fred Allen Rayburn Jr, FNP - BC - Medicare Nurse Practitioner in Tupelo, MS