Tina U Mabry, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake, Mississippi. Her current practice location is
24489 Highway 80, Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 775-3264.
Tina U Mabry is licensed to practice in Mississippi (license number R588199) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003898859.
Provider's Profile
Full Name | Tina U Mabry |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 24489 Highway 80, Lake, Mississippi |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tina U Mabry attended and graduated from in
NPI Data:
- NPI Number: 1003898859
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 11/06/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tina U Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003898859 | NPI | - | NPPES |
00013436 | Medicaid | MS | |
500008623 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R588199 (Mississippi) | Primary |
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. Tina U Mabry 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 |
Tina U Mabry, FNP Po Box 2065, Meridian, MS 39302-2065 Ph: (601) 703-4282 | Tina U Mabry, FNP 24489 Highway 80, Lake, MS 39092-3511 Ph: (601) 775-3264 |
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