Mr Donald Gregory Tisdale Jr, NP - Medicare Nurse Practitioner in Flowood, MS

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Mr Donald Gregory Tisdale Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Flowood, Mississippi. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice On-site Health Llc and his current practice location is 10 Canebrake Blvd Ste 110-09, Flowood, Mississippi. You can reach out to his office (for appointments etc.) via phone at (769) 333-8808.

Mr Donald Gregory Tisdale Jr is licensed to practice in Mississippi (license number 902899) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174006522.

Contact Information

Mr Donald Gregory Tisdale Jr, NP
10 Canebrake Blvd Ste 110-09,
Flowood, MS 39232-2211
(769) 333-8808
(769) 333-8809

Map and Direction




Provider's Profile

Full NameMr Donald Gregory Tisdale Jr
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location10 Canebrake Blvd Ste 110-09, Flowood, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Donald Gregory Tisdale Jr graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1174006522
  • Provider Enumeration Date: 09/12/2018
  • Last Update Date: 05/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062751076
  • Enrollment ID: I20190307003176

Medical Identifiers

Medical identifiers for Mr Donald Gregory Tisdale Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174006522NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 902899 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health And HospiceClinton, MSHome health agency
Mississippi Homecare Of JacksonJackson, MSHome health agency
Sta Home Health And HospiceCarthage, MSHome health agency
Sta Home Hospice Of MississippiJackson, MSHospice
Hospice Ministries, IncRidgeland, MSHospice
Mississippi Baptist Medical CenterJackson, MSHospital
Yalobusha General HospitalWater valley, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
On-site Health Llc16587709532

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. Mr Donald Gregory Tisdale Jr allows following entities to bill medicare on his behalf.
Entity NameOn-site Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598348799
PECOS PAC ID: 1658770953
Enrollment ID: O20210518002324

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. Mr Donald Gregory Tisdale Jr 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
Mr Donald Gregory Tisdale Jr, NP
10 Canebrake Blvd Ste 110-09,
Flowood, MS 39232-2211

Ph: (769) 333-8808		Mr Donald Gregory Tisdale Jr, NP
10 Canebrake Blvd Ste 110-09,
Flowood, MS 39232-2211

Ph: (769) 333-8808

Reviews and Comments


Nurse Practitioner Nurses in Flowood, MS

Catherine Elizabeth Clingan, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232
Phone: 601-939-1808    Fax: 601-939-1808
Jordan Claire Smith, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232
Phone: 601-420-0034    
Dr. Tatum Lee Severino I, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232
Phone: 601-665-4162    Fax: 888-398-1151
Jane Denton Desper, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-8200    Fax: 601-987-8211
Brittany Michelle Fitzgerald, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-2000    
Courtney Dannielle Murtagh, WHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2925 Layfair Dr, Flowood, MS 39232
Phone: 601-984-6740    
Salina M Loggins, NP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 215 Katherine Dr, Flowood, MS 39232
Phone: 601-665-4162    Fax: 888-398-1151

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.