Monique Pendleton, - Medicare Nurse Practitioner in Pearl, MS

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Monique Pendleton, is a medicare enrolled "Nurse Practitioner - Family" in Pearl, Mississippi. Her current practice location is 4635 Highway 80 E, Pearl, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 502-3009.

Monique Pendleton is licensed to practice in Mississippi (license number F0215192) 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 1497147318.

Contact Information

Monique Pendleton,
4635 Highway 80 E,
Pearl, MS 39208-4226
(601) 502-3009
Not Available

Map and Direction




Provider's Profile

Full NameMonique Pendleton
GenderFemale
SpecialityNurse Practitioner - Family
Location4635 Highway 80 E, Pearl, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497147318
  • Provider Enumeration Date: 03/02/2015
  • Last Update Date: 04/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840593679
  • Enrollment ID: I20160128000223

Medical Identifiers

Medical identifiers for Monique Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497147318NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F0215192 (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. Monique Pendleton allows following entities to bill medicare on her behalf.
Entity NameMallory Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740308873
PECOS PAC ID: 9739074501
Enrollment ID: O20040219000709
Entity NameFamily Health Care Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043236326
PECOS PAC ID: 5395656946
Enrollment ID: O20040831001179
Entity NameCycle 8 Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700449329
PECOS PAC ID: 0143555474
Enrollment ID: O20190709002968

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. Monique Pendleton 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
Monique Pendleton,
2570 Bailey Ave Ste 7,
Jackson, MS 39213-6905

Ph: (601) 502-3009		Monique Pendleton,
4635 Highway 80 E,
Pearl, MS 39208-4226

Ph: (601) 502-3009

Reviews and Comments


Nurse Practitioner Nurses in Pearl, MS

Deidra Thompson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3794 Highway 468 W, Pearl, MS 39208
Phone: 601-932-2880    
Aubree Jean Davis, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3794 Highway 468 W, Pearl, MS 39208
Phone: 601-932-2880    
Mr. Edward Scott Callihan, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 342 Gilchrist Dr, Pearl, MS 39208
Phone: 601-939-0700    
Meredith Selman, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208
Phone: 601-531-8020    
Tiffany Jackson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208
Phone: 601-623-9245    Fax: 601-623-9246
Jade Alexandra Roberts,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208
Phone: 601-345-2124    
Mrs. Kimberly Renee Blumenberg, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3794 Highway 468 W, Pearl, MS 39208
Phone: 601-932-2880    

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.