Shuntay Mccormick, in Hattiesburg, MS - Medicare Nurse Practitioner

Shuntay Mccormick, is a medicare enrolled "Nurse Practitioner - Family" in Hattiesburg, Mississippi. Her current practice location is 163 Augustine Dr, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 467-6281.

Shuntay Mccormick is licensed to practice in Mississippi (license number 902849) 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 1467931642.

Contact Information

	Shuntay Mccormick,
	163 Augustine Dr, Hattiesburg, MS 39402-7836
	(601) 467-6281
	Not Available

Map and Direction

Provider's Profile

Full Name	Shuntay Mccormick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	163 Augustine Dr, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467931642
Provider Enumeration Date: 08/09/2018
Last Update Date: 08/09/2018

Medicare PECOS Information:

PECOS PAC ID: 4789018474
Enrollment ID: I20200106002390

Medical Identifiers

Medical identifiers for Shuntay Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467931642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	902849 (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. Shuntay Mccormick allows following entities to bill medicare on her behalf.

Entity Name	Joyce D Wade-hamme
Entity Type	Practitioner - Pulmonary Disease
Entity Identifiers	NPI Number: 1093819799 PECOS PAC ID: 6103823067 Enrollment ID: I20061107000238

Entity Name	Lilly Pad Home Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396250031 PECOS PAC ID: 3870826001 Enrollment ID: O20191211000298

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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. Shuntay Mccormick 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
Shuntay Mccormick, 163 Augustine Dr, Hattiesburg, MS 39402-7836 Ph: (601) 467-6281	Shuntay Mccormick, 163 Augustine Dr, Hattiesburg, MS 39402-7836 Ph: (601) 467-6281

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Shuntay Mccormick, - Medicare Nurse Practitioner in Hattiesburg, MS