Tammy Vincent, in Gulfport, MS - Medicare Nurse Practitioner

Tammy Vincent, is a medicare enrolled "Nurse Practitioner - Acute Care" in Gulfport, Mississippi. Her current practice location is 14116 Customs Blvd, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 957-6300.

Tammy Vincent is licensed to practice in Mississippi (license number R872175) 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 1295107357.

Contact Information

	Tammy Vincent,
	14116 Customs Blvd, Gulfport, MS 39503-5164
	(601) 957-6300
	Not Available

Map and Direction

Provider's Profile

Full Name	Tammy Vincent
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	14116 Customs Blvd, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295107357
Provider Enumeration Date: 10/28/2015
Last Update Date: 10/25/2019

Medicare PECOS Information:

PECOS PAC ID: 5294023479
Enrollment ID: I20221228001732

Medical Identifiers

Medical identifiers for Tammy Vincent such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295107357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R872175 (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. Tammy Vincent allows following entities to bill medicare on her behalf.

Entity Name	Landmark Medical Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396498143 PECOS PAC ID: 8527453851 Enrollment ID: O20220323000117

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. Tammy Vincent 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
Tammy Vincent, 422 Memorial Blvd, Picayune, MS 39466-5544 Ph: () -	Tammy Vincent, 14116 Customs Blvd, Gulfport, MS 39503-5164 Ph: (601) 957-6300

Reviews and Comments

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Tammy Vincent, - Medicare Nurse Practitioner in Gulfport, MS