Mrs Jacquelyn Bruner Ray, NP - Medicare Nurse Practitioner in Meridian, MS

Mrs Jacquelyn Bruner Ray, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Meridian, Mississippi. Her current practice location is 6102 11th Ave, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (832) 687-2518.

Mrs Jacquelyn Bruner Ray is licensed to practice in Mississippi (license number 902970) 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 1326513920.

Contact Information

Mrs Jacquelyn Bruner Ray, NP
6102 11th Ave,
Meridian, MS 39305-1219
(832) 687-2518
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacquelyn Bruner Ray
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location6102 11th Ave, Meridian, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326513920
  • Provider Enumeration Date: 10/10/2018
  • Last Update Date: 10/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2365781689
  • Enrollment ID: I20190305001058

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Bruner Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326513920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 902970 (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 Jacquelyn Bruner Ray allows following entities to bill medicare on her behalf.
Entity NameEast Mississippi Medical Clinic, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881640142
PECOS PAC ID: 1456362557
Enrollment ID: O20060602000226
Entity NameHospitalist Services Of Meridian Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639629777
PECOS PAC ID: 3274818042
Enrollment ID: O20170316002383

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 Jacquelyn Bruner Ray 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
Mrs Jacquelyn Bruner Ray, NP
6102 11th Ave,
Meridian, MS 39305-1219

Ph: (832) 687-2518
Mrs Jacquelyn Bruner Ray, NP
6102 11th Ave,
Meridian, MS 39305-1219

Ph: (832) 687-2518

Reviews and Comments


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Practice Location: 1800 12th St, Meridian, MS 39301
Phone: 601-703-4065    Fax: 601-703-3050

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.