Jackie Eugene Brister, FNP in Mccomb, MS - Medicare Nurse Practitioner

Jackie Eugene Brister, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mccomb, Mississippi. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Statcare Pllc and his current practice location is 1017 Delaware Ave, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 250-1122.

Jackie Eugene Brister is licensed to practice in Mississippi (license number R862702) 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 1568473270.

Contact Information

	Jackie Eugene Brister, FNP
	1017 Delaware Ave, Mccomb, MS 39648-3827
	(601) 250-1122
	(601) 250-0290

Map and Direction

Provider's Profile

Full Name	Jackie Eugene Brister
Gender	Male
Speciality	Nurse Practitioner
Experience	18 Years
Location	1017 Delaware Ave, Mccomb, 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:

Jackie Eugene Brister graduated from nursing school in 2006

NPI Data:

NPI Number: 1568473270
Provider Enumeration Date: 08/10/2006
Last Update Date: 03/12/2008

Medicare PECOS Information:

PECOS PAC ID: 2466457569
Enrollment ID: I20060925000071

Medical Identifiers

Medical identifiers for Jackie Eugene Brister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568473270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R862702 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southwest Ms Regional Medical Center	Mccomb, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Statcare Pllc	5799764965	9

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. Jackie Eugene Brister allows following entities to bill medicare on his behalf.

Entity Name	Statcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174579338 PECOS PAC ID: 5799764965 Enrollment ID: O20040720000687

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. Jackie Eugene Brister 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
Jackie Eugene Brister, FNP Po Box 1909, Mccomb, MS 39649-1909 Ph: (601) 250-1122	Jackie Eugene Brister, FNP 1017 Delaware Ave, Mccomb, MS 39648-3827 Ph: (601) 250-1122

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

Jackie Eugene Brister, FNP - Medicare Nurse Practitioner in Mccomb, MS