Tina U Mabry, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake, Mississippi. She graduated from nursing school in 1991 and has 33 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Scott Regional Medical Center, Inc and 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 | Nurse Practitioner |
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| Experience | 33 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. |
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Medical Education and Training:
- Tina U Mabry graduated from nursing school in 1991
NPI Data:
- NPI Number: 1003898859
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 11/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 8022024223
- Enrollment ID: I20060224000560
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 |
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| 363LF0000X | Nurse Practitioner - Family | R588199 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Scott Regional Medical Center, Inc | 0648366260 | 12 |
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. Tina U Mabry allows following entities to bill medicare on her behalf.
| Entity Name | Scott Regional Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639367188
PECOS PAC ID: 0648366260
Enrollment ID: O20080423000448 |
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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. 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 |
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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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