Brandon Heath Petty, - Medicare Nurse Practitioner in Tupelo, MS

Brandon Heath Petty, is a medicare enrolled "Nurse Practitioner" in Tupelo, Mississippi. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice North Mississippi Clinics Llc and his current practice location is 499 Gloster Creek Vlg Ste A2, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 620-6800.

Brandon Heath Petty is licensed to practice in Mississippi (license number R903557) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073157715.

Contact Information

Brandon Heath Petty,
499 Gloster Creek Vlg Ste A2,
Tupelo, MS 38801-4749
(662) 620-6800
(662) 620-6950

Map and Direction




Provider's Profile

Full NameBrandon Heath Petty
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location499 Gloster Creek Vlg Ste A2, Tupelo, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandon Heath Petty graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1073157715
  • Provider Enumeration Date: 11/06/2019
  • Last Update Date: 11/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5890120810
  • Enrollment ID: I20200122001569

Medical Identifiers

Medical identifiers for Brandon Heath Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073157715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R903557 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Mississippi Clinics Llc387077391421

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. Brandon Heath Petty allows following entities to bill medicare on his behalf.
Entity NameCardiology Associates Of North Ms Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902971492
PECOS PAC ID: 4688648595
Enrollment ID: O20040825000433
Entity NameNorth Mississippi Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326749540
PECOS PAC ID: 3870773914
Enrollment ID: O20110208000115

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. Brandon Heath Petty 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 AddressPractice Location Address
Brandon Heath Petty,
499 Gloster Creek Vlg Ste A2,
Tupelo, MS 38801-4749

Ph: (662) 620-6800
Brandon Heath Petty,
499 Gloster Creek Vlg Ste A2,
Tupelo, MS 38801-4749

Ph: (662) 620-6800

Reviews and Comments


Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 845 South Gloster Street, Tupelo, MS 38801
Phone: 662-377-5930    
Mrs. Rebecca Perry Ward, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801
Phone: 662-377-7354    Fax: 662-377-5301
Ms. Wanda Ikeda, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801
Phone: 662-620-6800    Fax: 662-377-2403
Mrs. Tina King, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801
Phone: 662-844-9885    Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801
Phone: 662-840-6026    Fax: 662-840-6030
Jennifer L Taylor, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 205-412-0585    
Kalisa Mickell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.