Ms Charity Darlene Hohm-whaley, is a medicare enrolled "Nurse Practitioner - Family" in Mize, Mississippi. Her current practice location is
146 Cottonwood Dr, Mize, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 642-7111.
Ms Charity Darlene Hohm-whaley is licensed to practice in Mississippi (license number R858724) 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 1386258408.
Provider's Profile
| Full Name | Ms Charity Darlene Hohm-whaley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 146 Cottonwood Dr, Mize, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386258408
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 09/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173998143
- Enrollment ID: I20230404001797
Medical Identifiers
Medical identifiers for Ms Charity Darlene Hohm-whaley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386258408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R858724 (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. Ms Charity Darlene Hohm-whaley allows following entities to bill medicare on her behalf.
| Entity Name | Fast Pace Mississippi Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291 |
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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. Ms Charity Darlene Hohm-whaley 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 |
|---|
Ms Charity Darlene Hohm-whaley,
146 Cottonwood Dr,
Mize, MS 39116-5449
Ph: (601) 642-7111 | Ms Charity Darlene Hohm-whaley,
146 Cottonwood Dr,
Mize, MS 39116-5449
Ph: (601) 642-7111 |
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