Gary Bronson Bubba Boggs, AGACNP in Mccomb, MS

Gary Bronson Bubba Boggs, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Mccomb, Mississippi. His current practice location is 215 Marion Ave, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 249-5500.

Gary Bronson Bubba Boggs is licensed to practice in Mississippi (license number 890001) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194219584.

Contact Information

	Gary Bronson Bubba Boggs, AGACNP
	215 Marion Ave, Mccomb, MS 39648-2705
	(601) 249-5500
	Not Available

Map and Direction

Provider's Profile

Full Name	Gary Bronson Bubba Boggs
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	215 Marion Ave, Mccomb, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194219584
Provider Enumeration Date: 06/19/2018
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 3779831094
Enrollment ID: I20180802002577

Medical Identifiers

Medical identifiers for Gary Bronson Bubba Boggs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194219584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	890001 (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. Gary Bronson Bubba Boggs allows following entities to bill medicare on his behalf.

Entity Name	Jackson Pulmonary Associates, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174570584 PECOS PAC ID: 7517934292 Enrollment ID: O20040913000766

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. Gary Bronson Bubba Boggs 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
Gary Bronson Bubba Boggs, AGACNP Po Box 490, Mccomb, MS 39649-0490 Ph: (601) 250-4366	Gary Bronson Bubba Boggs, AGACNP 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500

Reviews and Comments

Nurse Practitioner Nurses in Mccomb, MS

Mrs. Betty Richardson, CNFP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Marion Ave, Mccomb, MS 39648 Phone: 601-684-6891 Fax: 601-249-3834
Micah Kennedy Craft, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648 Phone: 601-682-7623
Maranda Jordan Guess, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648 Phone: 601-684-7623 Fax: 601-754-7905
Mrs. Mary Thornton, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Rawls Dr, Ste 1200, Mccomb, MS 39648 Phone: 601-249-4710 Fax: 601-249-4716
William Jason Bass, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 954-367-8523
Ms. Robin Bass Spring, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Scott Dr, Mccomb, MS 39648 Phone: 601-680-0371
Sunja Tate, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Drive, Suite 100, Mccomb, MS 39649 Phone: 601-684-7623 Fax: 877-795-9891

Gary Bronson Bubba Boggs, AGACNP - Medicare Nurse Practitioner in Mccomb, MS