Dr Patricia A Tibbs, MD is a
Pediatrics physician based in Ellisville, Mississippi. Dr Patricia A Tibbs is licensed to practice in Mississippi (license number MS15492) and her current practice location is 1203 Avenue B, Ellisville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 477-3550.
NPI number for Dr Patricia A Tibbs is 1861498610 and her current mailing address is Po Box 6525, Laurel, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861498610.
Physician's Profile
| Full Name | Dr Patricia A Tibbs |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1203 Avenue B, Ellisville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861498610
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 06/20/2011
Medical Identifiers
Medical identifiers for Dr Patricia A Tibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861498610 | NPI | - | NPPES |
| 00118835 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MS15492 (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. Dr Patricia A Tibbs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Patricia A Tibbs, MD
Po Box 6525,
Laurel, MS 39441-6525
Ph: (601) 477-3550 | Dr Patricia A Tibbs, MD
1203 Avenue B,
Ellisville, MS 39437
Ph: (601) 477-3550 |
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