Mariel Hubbard, CPNP in Hattiesburg, MS - Medicare Nurse Practitioner

Mariel Hubbard, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hattiesburg, Mississippi. Her current practice location is 101 Medical Park, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 579-3000.

Mariel Hubbard is licensed to practice in Mississippi (license number R880070) 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 1083964092.

Contact Information

	Mariel Hubbard, CPNP
	101 Medical Park, Hattiesburg, MS 39401-9042
	(601) 579-3000
	(601) 584-4727

Map and Direction

Provider's Profile

Full Name	Mariel Hubbard
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	101 Medical Park, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083964092
Provider Enumeration Date: 09/17/2012
Last Update Date: 07/30/2020

Medicare PECOS Information:

PECOS PAC ID: 7012168834
Enrollment ID: I20121102000497

Medical Identifiers

Medical identifiers for Mariel Hubbard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083964092	NPI	-	NPPES
08706760	Medicaid	MS
2406361	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R880070 (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. Mariel Hubbard allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Mariel Hubbard 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
Mariel Hubbard, CPNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-3000	Mariel Hubbard, CPNP 101 Medical Park, Hattiesburg, MS 39401-9042 Ph: (601) 579-3000

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Mariel Hubbard, CPNP - Medicare Nurse Practitioner in Hattiesburg, MS