Ms Tyrah Patrice Hickman, NP in Jackson, MS - Medicare Nurse Practitioner

Ms Tyrah Patrice Hickman, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jackson, Mississippi. Her current practice location is 3450 Highway 80 W, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 473-6441.

Ms Tyrah Patrice Hickman is licensed to practice in Mississippi (license number 903798) 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 1932735727.

Contact Information

	Ms Tyrah Patrice Hickman, NP
	3450 Highway 80 W, Jackson, MS 39209-7201
	(601) 473-6441
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Tyrah Patrice Hickman
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3450 Highway 80 W, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932735727
Provider Enumeration Date: 03/12/2020
Last Update Date: 03/12/2020

Medicare PECOS Information:

PECOS PAC ID: 8729404843
Enrollment ID: I20200819001737

Medical Identifiers

Medical identifiers for Ms Tyrah Patrice Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932735727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	903798 (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 Tyrah Patrice Hickman allows following entities to bill medicare on her behalf.

Entity Name	Hinds County Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205853652 PECOS PAC ID: 0547265522 Enrollment ID: O20110831000342

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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 Tyrah Patrice Hickman 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 Tyrah Patrice Hickman, NP 1825 S Norrell Rd, Bolton, MS 39041-3103 Ph: (601) 473-6441	Ms Tyrah Patrice Hickman, NP 3450 Highway 80 W, Jackson, MS 39209-7201 Ph: (601) 473-6441

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Ms Tyrah Patrice Hickman, NP - Medicare Nurse Practitioner in Jackson, MS