Mrs Vicki Nicole Lary, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Itta Bena, Mississippi. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is
103 Basket St, Itta Bena, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 254-7801.
Mrs Vicki Nicole Lary is licensed to practice in Mississippi (license number R860262) 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 1083788665.
Provider's Profile
| Full Name | Mrs Vicki Nicole Lary |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 18 Years |
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| Location | 103 Basket St, Itta Bena, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Vicki Nicole Lary graduated from nursing school in 2006
NPI Data:
- NPI Number: 1083788665
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 03/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 3274686688
- Enrollment ID: I20090803000513
Medical Identifiers
Medical identifiers for Mrs Vicki Nicole Lary such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083788665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R860262 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 782 |
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 Vicki Nicole Lary allows following entities to bill medicare on her behalf.
| Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575 |
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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 Vicki Nicole Lary 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 |
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Mrs Vicki Nicole Lary, CFNP
2207 River Road Extended,
Greenwood, MS 38930
Ph: (662) 451-9984 | Mrs Vicki Nicole Lary, CFNP
103 Basket St,
Itta Bena, MS 38941-2801
Ph: (662) 254-7801 |
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