Michele Latonya Brooks, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tchula, Mississippi. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mallory Community Health and her current practice location is
9715 Highway 12, Tchula, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 235-4731.
Michele Latonya Brooks is licensed to practice in Mississippi (license number 902153) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1467976548.
Provider's Profile
| Full Name | Michele Latonya Brooks |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 9715 Highway 12, Tchula, Mississippi |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michele Latonya Brooks graduated from nursing school in 2017
NPI Data:
- NPI Number: 1467976548
- Provider Enumeration Date: 07/31/2017
- Last Update Date: 09/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234403536
- Enrollment ID: I20170926001590
Medical Identifiers
Medical identifiers for Michele Latonya Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467976548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 902153 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mallory Community Health | 9739074501 | 11 |
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. Michele Latonya Brooks allows following entities to bill medicare on her behalf.
| Entity Name | Mallory Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740308873
PECOS PAC ID: 9739074501
Enrollment ID: O20040219000709 |
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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. Michele Latonya Brooks 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 |
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Michele Latonya Brooks, FNP-C
Po Box 1410,
Greenwood, MS 38935-1410
Ph: (662) 459-7149 | Michele Latonya Brooks, FNP-C
9715 Highway 12,
Tchula, MS 39169-3692
Ph: (662) 235-4731 |
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