Mrs Rebecca L Cauthen, ACNP in Madison, MS - Medicare Nurse Practitioner

Mrs Rebecca L Cauthen, ACNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Madison, Mississippi. Her current practice location is 189 Saddlebrook Cv, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 818-0020.

Mrs Rebecca L Cauthen is licensed to practice in Mississippi (license number R901830) 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 1134589930.

Contact Information

	Mrs Rebecca L Cauthen, ACNP
	189 Saddlebrook Cv, Madison, MS 39110-6633
	(601) 818-0020
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Rebecca L Cauthen
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	189 Saddlebrook Cv, Madison, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134589930
Provider Enumeration Date: 03/07/2016
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9638476484
Enrollment ID: I20160323000411

Medical Identifiers

Medical identifiers for Mrs Rebecca L Cauthen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134589930	NPI	-	NPPES
00757226	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R901830 (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 Rebecca L Cauthen allows following entities to bill medicare on her behalf.

Entity Name	Medical Foundation Of Central Mississippi Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380

Entity Name	Mississippi Baptist Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467589556 PECOS PAC ID: 9234026600 Enrollment ID: O20110707000181

Entity Name	Revitalize Hydration Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285261123 PECOS PAC ID: 5193154128 Enrollment ID: O20200326001875

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 Rebecca L Cauthen 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 Rebecca L Cauthen, ACNP 189 Saddlebrook Cv, Madison, MS 39110-6633 Ph: (601) 818-0020	Mrs Rebecca L Cauthen, ACNP 189 Saddlebrook Cv, Madison, MS 39110-6633 Ph: (601) 818-0020

Reviews and Comments

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Mrs Rebecca L Cauthen, ACNP - Medicare Nurse Practitioner in Madison, MS