Mrs Mary Ellen Porter, NP in Flowood, MS - Medicare Nurse Practitioner

Mrs Mary Ellen Porter, NP is a medicare enrolled "Nurse Practitioner" in Flowood, Mississippi. Her current practice location is 1020 River Oaks Dr Ste 100, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 326-8700.

Mrs Mary Ellen Porter is licensed to practice in Louisiana (license number AP04559) 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 1356489272.

Contact Information

	Mrs Mary Ellen Porter, NP
	1020 River Oaks Dr Ste 100, Flowood, MS 39232-9511
	(601) 326-8700
	(601) 932-4681

Map and Direction

Provider's Profile

Full Name	Mrs Mary Ellen Porter
Gender	Female
Speciality	Nurse Practitioner
Location	1020 River Oaks Dr Ste 100, Flowood, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356489272
Provider Enumeration Date: 02/02/2007
Last Update Date: 09/11/2020

Medicare PECOS Information:

PECOS PAC ID: 4688627631
Enrollment ID: I20170106000350

Medical Identifiers

Medical identifiers for Mrs Mary Ellen Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356489272	NPI	-	NPPES
437505741B	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN098282 (Louisiana)	Secondary
363L00000X	Nurse Practitioner	AP04559 (Louisiana)	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 Mary Ellen Porter allows following entities to bill medicare on her behalf.

Entity Name	River Oaks Management Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093

Entity Name	Flowood River Oaks Hma Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668

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 Mary Ellen Porter 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 Mary Ellen Porter, NP 1020 River Oaks Dr Ste 100, Flowood, MS 39232-9511 Ph: (601) 326-8700	Mrs Mary Ellen Porter, NP 1020 River Oaks Dr Ste 100, Flowood, MS 39232-9511 Ph: (601) 326-8700

Reviews and Comments

Nurse Practitioner Nurses in Flowood, MS

Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232 Phone: 601-939-1808 Fax: 601-939-1808
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151
Jane Denton Desper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740
Salina M Loggins, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Katherine Dr, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151

Mrs Mary Ellen Porter, NP - Medicare Nurse Practitioner in Flowood, MS