Mrs Alicia Dubose, NP in Meridian, MS - Medicare Nurse Practitioner

Mrs Alicia Dubose, NP is a medicare enrolled "Nurse Practitioner" in Meridian, Mississippi. Her current practice location is 1715 23rd Ave, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (607) 696-6736.

Mrs Alicia Dubose is licensed to practice in Mississippi (license number R866633) 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 1588036735.

Contact Information

	Mrs Alicia Dubose, NP
	1715 23rd Ave, Meridian, MS 39301-3104
	(607) 696-6736
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alicia Dubose
Gender	Female
Speciality	Nurse Practitioner
Location	1715 23rd Ave, Meridian, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588036735
Provider Enumeration Date: 10/28/2015
Last Update Date: 10/28/2015

Medicare PECOS Information:

PECOS PAC ID: 8325319692
Enrollment ID: I20170804000166

Medical Identifiers

Medical identifiers for Mrs Alicia Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588036735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R866633 (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. Mrs Alicia Dubose allows following entities to bill medicare on her behalf.

Entity Name	The Clarkdale Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790284693 PECOS PAC ID: 5597027466 Enrollment ID: O20180313002176

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. Mrs Alicia Dubose 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
Mrs Alicia Dubose, NP 1715 23rd Avenue, Meridian, MS 39301 Ph: (607) 696-6736	Mrs Alicia Dubose, NP 1715 23rd Ave, Meridian, MS 39301-3104 Ph: (607) 696-6736

Reviews and Comments

Nurse Practitioner Nurses in Meridian, MS

Amanda Danielle Simpson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700
Miss Mattie P Hopson, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118
Jennifer Lynn Webb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 329 Jeffery Acres Rd, Meridian, MS 39301 Phone: 601-527-6584
Gail Beard, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000
Mrs. Celeste M Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Hills St Apt 607, #607, Meridian, MS 39305 Phone: 601-282-5429
Mrs. Karen Faye Deese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 20th Ave Ste D, Meridian, MS 39301 Phone: 601-703-8450 Fax: 601-703-8459
Patti Suzanne Weaver, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-4065 Fax: 601-703-3050

Mrs Alicia Dubose, NP - Medicare Nurse Practitioner in Meridian, MS