Mrs Ann Michelle Porter, NP is a medicare enrolled "Nurse Practitioner" physician in Jackson, Mississippi. Her current practice location is
766 Lakeland Dr # A, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 368-3440.
Mrs Ann Michelle Porter is licensed to practice in Mississippi (license number R822501) 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 1588856959.
Physician's Profile
| Full Name | Mrs Ann Michelle Porter |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 766 Lakeland Dr # A, 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. |
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NPI Data:
- NPI Number: 1588856959
- Provider Enumeration Date: 08/09/2007
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072696178
- Enrollment ID: I20080213000242
Medical Identifiers
Medical identifiers for Mrs Ann Michelle Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588856959 | NPI | - | NPPES |
| 03258395 | Medicaid | MS | |
| 0292891-22 | Other | MS | BOARD CERTIFICATION |
| R822501 | Other | MS | NURSING LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RI0200X | Internal Medicine - Infectious Disease | R822501 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R822501 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | R822501 (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. Mrs Ann Michelle Porter allows following entities to bill medicare on her behalf.
| Entity Name | Aids Healthcare Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255688057
PECOS PAC ID: 2668369109
Enrollment ID: O20151005003100 |
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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. Mrs Ann Michelle Porter 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 |
|---|
Mrs Ann Michelle Porter, NP
6255 W Sunset Blvd Fl 21,
Los Angeles, CA 90028-7422
Ph: (323) 860-5200 | Mrs Ann Michelle Porter, NP
766 Lakeland Dr # A,
Jackson, MS 39216-4610
Ph: (601) 368-3440 |
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