Tyrone Leavette Rupert, NP - Medicare Nurse Practitioner in Columbus, MS

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Tyrone Leavette Rupert, NP is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Mississippi. His current practice location is 824 Alabama St, Columbus, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 244-0391.

Tyrone Leavette Rupert is licensed to practice in Mississippi (license number R867788) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164759965.

Contact Information

Tyrone Leavette Rupert, NP
824 Alabama St,
Columbus, MS 39702-5436
(662) 244-0391
Not Available

Map and Direction




Provider's Profile

Full NameTyrone Leavette Rupert
GenderMale
SpecialityNurse Practitioner - Family
Location824 Alabama St, Columbus, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164759965
  • Provider Enumeration Date: 11/16/2009
  • Last Update Date: 11/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3173704319
  • Enrollment ID: I20110222000645

Medical Identifiers

Medical identifiers for Tyrone Leavette Rupert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164759965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R867788 (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. Tyrone Leavette Rupert allows following entities to bill medicare on his behalf.
Entity NameUnited Emergency Services Of Mississippi
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801983309
PECOS PAC ID: 9739188046
Enrollment ID: O20061214000504
Entity NameKeystone Medical Services Of Ms Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174691059
PECOS PAC ID: 7618075177
Enrollment ID: O20070606000447
Entity NamePascagoula Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235442872
PECOS PAC ID: 8527241207
Enrollment ID: O20110318000278
Entity NamePetal Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982908877
PECOS PAC ID: 9133303811
Enrollment ID: O20110404000578
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827
Entity NameCapital Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528405230
PECOS PAC ID: 0244471480
Enrollment ID: O20130730000783
Entity NameKeystone Medical Services Of Gulfport Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881070183
PECOS PAC ID: 7113221011
Enrollment ID: O20160215000517
Entity NameMaxem Health Urgent Care Flowood
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174070650
PECOS PAC ID: 9335429422
Enrollment ID: O20161207000648
Entity NameApp Of Mississippi Ed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534

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. Tyrone Leavette Rupert 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 AddressPractice Location Address
Tyrone Leavette Rupert, NP
3119 Sierra Ct,
Columbus, MS 39705-1807

Ph: (662) 889-3246		Tyrone Leavette Rupert, NP
824 Alabama St,
Columbus, MS 39702-5436

Ph: (662) 244-0391

Reviews and Comments


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Mrs. Celia Lasky Kidder, FNP-C
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Phone: 662-244-2042    Fax: 662-244-3287
Lacee Nicole Lowder, MSN, APRN, FNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.