Mary K Fouquier, PHD, RN, CNM - Medicare Advanced Practice Midwife in Jackson, MS

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Mary K Fouquier, PHD, RN, CNM is a medicare enrolled "Advanced Practice Midwife" in Jackson, Mississippi. Her current practice location is 1207 N West St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 354-6654.

Mary K Fouquier is licensed to practice in Tennessee (license number 25784) 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 1396017646.

Contact Information

Mary K Fouquier, PHD, RN, CNM
1207 N West St,
Jackson, MS 39202-2018
(601) 354-6654
(601) 354-6289

Map and Direction




Provider's Profile

Full NameMary K Fouquier
GenderFemale
SpecialityAdvanced Practice Midwife
Location1207 N West St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396017646
  • Provider Enumeration Date: 02/02/2012
  • Last Update Date: 05/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204096381
  • Enrollment ID: I20191029000773

Medical Identifiers

Medical identifiers for Mary K Fouquier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396017646NPI-NPPES
03285886MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 25784 (Tennessee)Primary
363LX0001XNurse Practitioner - Obstetrics & Gynecology R887487 (Mississippi)Secondary

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. Mary K Fouquier allows following entities to bill medicare on her behalf.
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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. Mary K Fouquier 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
Mary K Fouquier, PHD, RN, CNM
1207 N West St,
Jackson, MS 39202-2018

Ph: (601) 354-6654		Mary K Fouquier, PHD, RN, CNM
1207 N West St,
Jackson, MS 39202-2018

Ph: (601) 354-6654

Reviews and Comments


Advanced Practice Midwife Nurses in Jackson, MS

Miss Gwen Bussa, CNM
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Medicare: Not Enrolled in Medicare
Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213
Phone: 601-709-5160    
Dr. Laura Rennie Dickerson, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213
Phone: 601-540-0968    
Ms. Meggan Everett, CNM
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Medicare: Not Enrolled in Medicare
Practice Location: 405 Briarwood Dr Ste 303, Jackson, MS 39206
Phone: 769-233-8163    
Dr. Janice Taleff Scaggs, CNM, DNP
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2500 N State St # L216, Jackson, MS 39216
Phone: 601-984-5300    
Ms. Avis Elaine Haynes, PHD RN CNM FPNP
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2500 North State Street, Winfred Wiser Womens Hospital, Jackson, MS 39216
Phone: 601-815-7300    Fax: 601-815-7355
Miss Clarice Carroll, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5373    Fax: 601-984-5476

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.