Marlena Bradley Mims, WHNP - Medicare Nurse Practitioner in Hattiesburg, MS

Marlena Bradley Mims, WHNP is a medicare enrolled "Nurse Practitioner" in Hattiesburg, Mississippi. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hattiesburg Clinic, Pa and her current practice location is 421 S 28th Ave, Suite 200, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 268-5640.

Marlena Bradley Mims is licensed to practice in Mississippi (license number R879755) 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 1922435130.

Contact Information

Marlena Bradley Mims, WHNP
421 S 28th Ave, Suite 200,
Hattiesburg, MS 39401-7206
(601) 268-5640
(601) 261-3507

Map and Direction




Provider's Profile

Full NameMarlena Bradley Mims
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location421 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marlena Bradley Mims graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1922435130
  • Provider Enumeration Date: 10/02/2013
  • Last Update Date: 06/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204065865
  • Enrollment ID: I20140131001728

Medical Identifiers

Medical identifiers for Marlena Bradley Mims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922435130NPI-NPPES
01006292MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R879755 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794488

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. Marlena Bradley Mims allows following entities to bill medicare on her behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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. Marlena Bradley Mims 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 AddressPractice Location Address
Marlena Bradley Mims, WHNP
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 268-5640
Marlena Bradley Mims, WHNP
421 S 28th Ave, Suite 200,
Hattiesburg, MS 39401-7206

Ph: (601) 268-5640

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.