Katherine Thames, FNP in Gulfport, MS - Medicare Nurse Practitioner

Katherine Thames, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gulfport, Mississippi. Her current practice location is 15444 Dedeaux Rd, Suite B, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 832-9038.

Katherine Thames is licensed to practice in Mississippi (license number R889394) 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 1639568892.

Contact Information

	Katherine Thames, FNP
	15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
	(228) 832-9038
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Thames
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15444 Dedeaux Rd, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639568892
Provider Enumeration Date: 01/12/2015
Last Update Date: 01/16/2015

Medicare PECOS Information:

PECOS PAC ID: 1557689551
Enrollment ID: I20150422001557

Medical Identifiers

Medical identifiers for Katherine Thames such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639568892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R889394 (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. Katherine Thames allows following entities to bill medicare on her behalf.

Entity Name	Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366560435 PECOS PAC ID: 0042280067 Enrollment ID: O20040728000361

Entity Name	Physician Services Of The Gulf Coast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366922023 PECOS PAC ID: 8426301607 Enrollment ID: O20181106000595

Entity Name	Integrated Medical And Wellness Clinic Of Mississippi, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235787185 PECOS PAC ID: 2163852005 Enrollment ID: O20200417000299

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. Katherine Thames 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
Katherine Thames, FNP 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 Ph: (228) 832-9038	Katherine Thames, FNP 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 Ph: (228) 832-9038

Reviews and Comments

Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356

Katherine Thames, FNP - Medicare Nurse Practitioner in Gulfport, MS