Miss Deborah J Konkle-parker, NP is a medicare enrolled "Nurse Practitioner" physician in Jackson, Mississippi. Her current practice location is
2500 North State Street, Department Of Medicine/division Of Infectious Disease, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 984-5560.
Miss Deborah J Konkle-parker is licensed to practice in Mississippi (license number R795171) 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 1942234596.
Physician's Profile
| Full Name | Miss Deborah J Konkle-parker |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2500 North State Street, Jackson, 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: 1942234596
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840389714
- Enrollment ID: I20071129000388
Medical Identifiers
Medical identifiers for Miss Deborah J Konkle-parker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942234596 | NPI | - | NPPES |
| P01745486 | Other | MS | RAILROAD MEDICARE |
| 0118355 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RI0200X | Internal Medicine - Infectious Disease | R795171 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | R795171 (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. Miss Deborah J Konkle-parker allows following entities to bill medicare on her behalf.
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
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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. Miss Deborah J Konkle-parker 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 |
Miss Deborah J Konkle-parker, NP 2500 North State Street, University Physicians Pllc, Jackson, MS 39216-4500 Ph: (601) 984-5560 | Miss Deborah J Konkle-parker, NP 2500 North State Street, Department Of Medicine/division Of Infectious Disease, Jackson, MS 39216-4500 Ph: (601) 984-5560 |
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