Mrs Courtney Renee Dubose, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Hamilton, Alabama. Her current practice location is
1500 Military St S Ste 11, Hamilton, Alabama. You can reach out to her office (for appointments etc.) via phone at
(662) 767-4200.
Mrs Courtney Renee Dubose is licensed to practice in Alabama (license number 1-172358) 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 1568963908.
Physician's Profile
| Full Name | Mrs Courtney Renee Dubose |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1500 Military St S Ste 11, Hamilton, Alabama |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568963908
- Provider Enumeration Date: 02/21/2018
- Last Update Date: 12/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133478118
- Enrollment ID: I20180824000097
Medical Identifiers
Medical identifiers for Mrs Courtney Renee Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568963908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | 1-172358 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 902512 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-172358 (Alabama) | 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 Courtney Renee Dubose allows following entities to bill medicare on her behalf.
| Entity Name | Specialty Orthopedic Group Of Mississippi Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1639553506 PECOS PAC ID: 3577878883 Enrollment ID: O20150817000322 |
|---|
| Entity Name | Vpa Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1982224895 PECOS PAC ID: 9234041948 Enrollment ID: O20200610002614 |
|---|
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 Courtney Renee Dubose 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 Courtney Renee Dubose, FNP-C 1211 S Gloster St Ste A, Tupelo, MS 38801-6548 Ph: (662) 767-4200 | Mrs Courtney Renee Dubose, FNP-C 1500 Military St S Ste 11, Hamilton, AL 35570-5050 Ph: (662) 767-4200 |
Reviews and Comments