Portia F Travis, NP in Clinton, MS - Medicare Nurse Practitioner

Portia F Travis, NP is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Mississippi. Her current practice location is 206 Longwood Dr, Clinton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 214-2045.

Portia F Travis is licensed to practice in Mississippi (license number R800172) 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 1710161708.

Contact Information

	Portia F Travis, NP
	206 Longwood Dr, Clinton, MS 39056-5436
	(601) 214-2045
	Not Available

Map and Direction

Provider's Profile

Full Name	Portia F Travis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	206 Longwood Dr, Clinton, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710161708
Provider Enumeration Date: 12/26/2007
Last Update Date: 12/26/2007

Medicare PECOS Information:

PECOS PAC ID: 9234575473
Enrollment ID: I20240311002953

Medical Identifiers

Medical identifiers for Portia F Travis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710161708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R800172 (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. Portia F Travis allows following entities to bill medicare on her behalf.

Entity Name	Brentwood Acquisition Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487638441 PECOS PAC ID: 9133101074 Enrollment ID: O20040819001052

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. Portia F Travis 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
Portia F Travis, NP 514h E Woodrow Wilson Ave, Jackson, MS 39216-4538 Ph: (601) 713-3900	Portia F Travis, NP 206 Longwood Dr, Clinton, MS 39056-5436 Ph: (601) 214-2045

Reviews and Comments

Nurse Practitioner Nurses in Clinton, MS

Lauren Lanier Guthrie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Friars Cv, Clinton, MS 39056 Phone: 601-383-5583
Mrs. Lakeisha Crye Green, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Highway 80 E, Clinton, MS 39056 Phone: 601-488-9668
Mrs. Amanda Monique Carson-griffin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 590 Springridge Rd, Clinton, MS 39056 Phone: 601-488-8101
Alexis Grabow Strahan, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Clinton Pkwy, Clinton, MS 39056 Phone: 601-924-9005
Elizabeth Clark Allen, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 728 Clinton Pkwy Ste B, Clinton, MS 39056 Phone: 601-200-4800 Fax: 601-200-4805
Brittany Tiara Mcgee, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 229 Kirkwood Dr, Clinton, MS 39056 Phone: 601-331-0730
Jennifer Russum, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 732 Clinton Pkwy, Clinton, MS 39056 Phone: 601-924-7994

Portia F Travis, NP - Medicare Nurse Practitioner in Clinton, MS