Jade Alexandra Roberts, in Pearl, MS - Medicare Nurse Practitioner

Jade Alexandra Roberts, is a medicare enrolled "Nurse Practitioner - Family" in Pearl, Mississippi. Her current practice location is 2507a Old Brandon Rd, Pearl, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 345-2124.

Jade Alexandra Roberts is licensed to practice in Mississippi (license number 903844) 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 1134719743.

Contact Information

	Jade Alexandra Roberts,
	2507a Old Brandon Rd, Pearl, MS 39208-4604
	(601) 345-2124
	Not Available

Map and Direction

Provider's Profile

Full Name	Jade Alexandra Roberts
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2507a Old Brandon Rd, Pearl, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134719743
Provider Enumeration Date: 01/19/2021
Last Update Date: 04/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3375990542
Enrollment ID: I20231109000331

Medical Identifiers

Medical identifiers for Jade Alexandra Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134719743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903844 (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. Jade Alexandra Roberts allows following entities to bill medicare on her behalf.

Entity Name	Wound Management Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20191021000339

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. Jade Alexandra Roberts 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
Jade Alexandra Roberts, 603 Mcdonald Dr Apt E, Clinton, MS 39056-5388 Ph: (601) 517-1531	Jade Alexandra Roberts, 2507a Old Brandon Rd, Pearl, MS 39208-4604 Ph: (601) 345-2124

Reviews and Comments

Nurse Practitioner Nurses in Pearl, MS

Deidra Thompson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880
Aubree Jean Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880
Mr. Edward Scott Callihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700
Meredith Selman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-531-8020
Tiffany Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208 Phone: 601-623-9245 Fax: 601-623-9246
Mrs. Kimberly Renee Blumenberg, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880

Jade Alexandra Roberts, - Medicare Nurse Practitioner in Pearl, MS