Teres Chandler, is a medicare enrolled "Registered Nurse" in Maben, Mississippi. Her current practice location is
43 School Bus Dr, Maben, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 295-7520.
Teres Chandler is licensed to practice in Mississippi (license number 904457) 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 1477017754.
Provider's Profile
Full Name | Teres Chandler |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 43 School Bus Dr, Maben, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477017754
- Provider Enumeration Date: 01/30/2019
- Last Update Date: 09/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870916612
- Enrollment ID: I20231009002731
Medical Identifiers
Medical identifiers for Teres Chandler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477017754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 906219 (Mississippi) | Secondary |
163W00000X | Registered Nurse | 904457 (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. Teres Chandler allows following entities to bill medicare on her behalf.
Entity Name | Mdb Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
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Entity Name | Safe Touch Home Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902686298 PECOS PAC ID: 0244653087 Enrollment ID: O20231012000258 |
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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. Teres Chandler 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 |
Teres Chandler, 43 School Bus Dr, Maben, MS 39750-9408 Ph: () - | Teres Chandler, 43 School Bus Dr, Maben, MS 39750-9408 Ph: (662) 295-7520 |
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