Mrs Jessica Braddock Childs, AGNP in Tupelo, MS

Mrs Jessica Braddock Childs, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Tupelo, Mississippi. Her current practice location is 1265 Cliff Gookin Blvd, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 407-2544.

Mrs Jessica Braddock Childs is licensed to practice in Mississippi (license number 905426) 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 1467095869.

Contact Information

	Mrs Jessica Braddock Childs, AGNP
	1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749
	(662) 407-2544
	(662) 620-9915

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Braddock Childs
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1265 Cliff Gookin Blvd, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467095869
Provider Enumeration Date: 10/18/2019
Last Update Date: 10/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2567839103
Enrollment ID: I20221110001174

Medical Identifiers

Medical identifiers for Mrs Jessica Braddock Childs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467095869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R874853 (Mississippi)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	905426 (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 Jessica Braddock Childs allows following entities to bill medicare on her behalf.

Entity Name	Tupelo Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396783916 PECOS PAC ID: 2769482439 Enrollment ID: O20070102000397

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 Jessica Braddock Childs 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 Jessica Braddock Childs, AGNP 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 Ph: (662) 407-2544	Mrs Jessica Braddock Childs, AGNP 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 Ph: (662) 407-2544

Reviews and Comments

Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301
Ms. Wanda Ikeda, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-377-2403
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000

Mrs Jessica Braddock Childs, AGNP - Medicare Nurse Practitioner in Tupelo, MS