Mrs Dianna Forrest Douglass, PMHNP in Oxford, MS

Mrs Dianna Forrest Douglass, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Oxford, Mississippi. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Right Track Medical Group, Inc and her current practice location is 152 Highway 7 S, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 234-7521.

Mrs Dianna Forrest Douglass is licensed to practice in Mississippi (license number 903689) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043679079.

Contact Information

	Mrs Dianna Forrest Douglass, PMHNP
	152 Highway 7 S, Oxford, MS 38655-5392
	(662) 234-7521
	(662) 236-3071

Map and Direction

Provider's Profile

Full Name	Mrs Dianna Forrest Douglass
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	152 Highway 7 S, Oxford, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Dianna Forrest Douglass graduated from nursing school in 2019

NPI Data:

NPI Number: 1043679079
Provider Enumeration Date: 02/18/2016
Last Update Date: 07/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0143659078
Enrollment ID: I20200329000094

Medical Identifiers

Medical identifiers for Mrs Dianna Forrest Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043679079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	901761 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	903689 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Right Track Medical Group, Inc	8729403415	22

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 Dianna Forrest Douglass allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Commission On Mental Illness/mental Retardation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558468694 PECOS PAC ID: 6103084041 Enrollment ID: O20120222001054

Entity Name	Right Track Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972080257 PECOS PAC ID: 8729403415 Enrollment ID: O20200728003297

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 Dianna Forrest Douglass 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 Dianna Forrest Douglass, PMHNP 58 County Road 373, Water Valley, MS 38965-3740 Ph: (662) 202-4705	Mrs Dianna Forrest Douglass, PMHNP 152 Highway 7 S, Oxford, MS 38655-5392 Ph: (662) 234-7521

Reviews and Comments

Nurse Practitioner Nurses in Oxford, MS

Mrs. Rachel Jamison Sledge, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Belk Blvd, Oxford, MS 38655 Phone: 662-234-1090 Fax: 662-234-0432
Shavonne Bridgette Doyle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2908 S Lamar Blvd Ste 100, Oxford, MS 38655 Phone: 662-281-0112
Kathryn B Elliott, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Azalea Dr, Oxford, MS 38655 Phone: 662-234-0332 Fax: 662-234-2891
Katherine Waters Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655 Phone: 662-244-2288 Fax: 662-636-2285
Michelle Cullen, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1109 N Lamar Blvd, Suite 1, Oxford, MS 38655 Phone: 662-238-7860 Fax: 662-238-7871
Jene' White Smith, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1397 Belk Blvd, Oxford, MS 38655 Phone: 662-236-4675 Fax: 662-281-0819
Tammy L. Pelegrin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Azalea Dr, Ste A, Oxford, MS 38655 Phone: 662-236-7738 Fax: 662-236-9642

Mrs Dianna Forrest Douglass, PMHNP - Medicare Nurse Practitioner in Oxford, MS