Paula Decanter, FNP is a medicare enrolled "Nurse Practitioner - Family" in Blue Mountain, Mississippi. Her current practice location is
1755 County Road 81, Blue Mountain, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 538-4111.
Paula Decanter is licensed to practice in Mississippi (license number R819565) 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 1750351540.
Provider's Profile
| Full Name | Paula Decanter |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1755 County Road 81, Blue Mountain, 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: 1750351540
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 10/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 9638143704
- Enrollment ID: I20040824000759
Medical Identifiers
Medical identifiers for Paula Decanter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750351540 | NPI | - | NPPES |
| 0121560 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R819565 (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. Paula Decanter allows following entities to bill medicare on her behalf.
| Entity Name | Steele Medical Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720726391
PECOS PAC ID: 7416323738
Enrollment ID: O20221011002857 |
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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. Paula Decanter 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 |
|---|
Paula Decanter, FNP
1755 County Road 81,
Blue Mountain, MS 38610-9657
Ph: (662) 538-4111 | Paula Decanter, FNP
1755 County Road 81,
Blue Mountain, MS 38610-9657
Ph: (662) 538-4111 |
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