Katese Rutherford, in Tupelo, MS - Medicare Nurse Practitioner

Katese Rutherford, is a medicare enrolled "Nurse Practitioner - Family" in Tupelo, Mississippi. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urology Professional Assoc and her current practice location is 499 Gloster Creek Vlg, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 432-0700.

Katese Rutherford is licensed to practice in Mississippi (license number R883096) 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 1598132771.

Contact Information

	Katese Rutherford,
	499 Gloster Creek Vlg, Tupelo, MS 38801-4600
	(662) 432-0700
	Not Available

Map and Direction

Provider's Profile

Full Name	Katese Rutherford
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	499 Gloster Creek Vlg, Tupelo, 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:

Katese Rutherford graduated from nursing school in 2015

NPI Data:

NPI Number: 1598132771
Provider Enumeration Date: 08/24/2015
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 8921317900
Enrollment ID: I20160324000570

Medical Identifiers

Medical identifiers for Katese Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598132771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R883096 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Center	Tupelo, MS	Hospital
Clay County Medical Corporation	West point, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urology Professional Assoc	9335166834	14

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. Katese Rutherford allows following entities to bill medicare on her behalf.

Entity Name	Urology Professional Assoc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508886805 PECOS PAC ID: 9335166834 Enrollment ID: O20060906000564

Entity Name	Redmed, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095

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. Katese Rutherford 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
Katese Rutherford, 158 N Lane Dr, Tupelo, MS 38801-4455 Ph: () -	Katese Rutherford, 499 Gloster Creek Vlg, Tupelo, MS 38801-4600 Ph: (662) 432-0700

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

Katese Rutherford, - Medicare Nurse Practitioner in Tupelo, MS