Mrs Diosan Mangubat Powell, FNP in Southaven, MS

Mrs Diosan Mangubat Powell, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Southaven, Mississippi. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 346 Stateline Rd W, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 510-5353.

Mrs Diosan Mangubat Powell is licensed to practice in Tennessee (license number 21474) 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 1275086902.

Contact Information

	Mrs Diosan Mangubat Powell, FNP
	346 Stateline Rd W, Southaven, MS 38671-1610
	(662) 510-5353
	(662) 510-0409

Map and Direction

Provider's Profile

Full Name	Mrs Diosan Mangubat Powell
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	346 Stateline Rd W, Southaven, 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 Diosan Mangubat Powell graduated from nursing school in 2016

NPI Data:

NPI Number: 1275086902
Provider Enumeration Date: 07/29/2016
Last Update Date: 12/26/2018

Medicare PECOS Information:

PECOS PAC ID: 5395033351
Enrollment ID: I20180328000562

Medical Identifiers

Medical identifiers for Mrs Diosan Mangubat Powell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275086902	NPI	-	NPPES
08778361	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	21474 (Tennessee)	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 Diosan Mangubat Powell allows following entities to bill medicare on her behalf.

Entity Name	Desoto Family Care Clinic, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972028843 PECOS PAC ID: 7719249978 Enrollment ID: O20180328000476

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 Diosan Mangubat Powell 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 Diosan Mangubat Powell, FNP 5248 Garner Ln, Southaven, MS 38672-6016 Ph: (615) 585-0469	Mrs Diosan Mangubat Powell, FNP 346 Stateline Rd W, Southaven, MS 38671-1610 Ph: (662) 510-5353

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Mrs Diosan Mangubat Powell, FNP - Medicare Nurse Practitioner in Southaven, MS