Allen Brantley Pearson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Rolling Fork, Mississippi. His current practice location is
25 S Fourth St, Rolling Fork, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 873-5222.
Allen Brantley Pearson is licensed to practice in Mississippi (license number 907249) 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 1144026063.
Provider's Profile
Full Name | Allen Brantley Pearson |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 25 S Fourth St, Rolling Fork, 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: 1144026063
- Provider Enumeration Date: 02/21/2025
- Last Update Date: 02/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618498833
- Enrollment ID: I20250304003674
Medical Identifiers
Medical identifiers for Allen Brantley Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144026063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 907249 (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. Allen Brantley Pearson allows following entities to bill medicare on his behalf.
Entity Name | Sharkey Issaquena Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013004795 PECOS PAC ID: 1759283039 Enrollment ID: O20040126000869 |
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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. Allen Brantley Pearson 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 |
Allen Brantley Pearson, FNP-C Po Box 339, Rolling Fork, MS 39159-0339 Ph: () - | Allen Brantley Pearson, FNP-C 25 S Fourth St, Rolling Fork, MS 39159-5146 Ph: (662) 873-5222 |
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