Courtney S Dubose, FNP-BC - Medicare Nurse Practitioner in Forest, MS

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Courtney S Dubose, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Forest, Mississippi. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Mississippi Pllc and her current practice location is 1061 Highway 35 S, Forest, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 541-4313.

Courtney S Dubose is licensed to practice in Mississippi (license number 893316) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134733728.

Contact Information

Courtney S Dubose, FNP-BC
1061 Highway 35 S,
Forest, MS 39074-4000
(601) 541-4313
Not Available

Map and Direction




Provider's Profile

Full NameCourtney S Dubose
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1061 Highway 35 S, Forest, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Courtney S Dubose graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1134733728
  • Provider Enumeration Date: 09/01/2020
  • Last Update Date: 06/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375942022
  • Enrollment ID: I20210528001208

Medical Identifiers

Medical identifiers for Courtney S Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134733728NPI-NPPES
1P7544MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 893316 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Mississippi Pllc3678832029136

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. Courtney S Dubose allows following entities to bill medicare on her behalf.
Entity NameEast Mississippi Medical Clinic, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881640142
PECOS PAC ID: 1456362557
Enrollment ID: O20060602000226
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameMedical Services Of Meridian Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174095988
PECOS PAC ID: 7315285376
Enrollment ID: O20190218000483
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210520000556

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. Courtney S 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 AddressPractice Location Address
Courtney S Dubose, FNP-BC
1061 Highway 35 S,
Forest, MS 39074-4000

Ph: (601) 541-4313		Courtney S Dubose, FNP-BC
1061 Highway 35 S,
Forest, MS 39074-4000

Ph: (601) 541-4313

Reviews and Comments


Nurse Practitioner Nurses in Forest, MS

Rori E. Bridges, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 330 N Broad St, Forest, MS 39074
Phone: 601-469-4771    Fax: 601-469-4724
Claudia Bowman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1123 Highway 35 S, Forest, MS 39074
Phone: 601-469-4771    Fax: 601-469-4724
Mary Elizabeth Paul, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1129 Highway 35 S Ste 1, Forest, MS 39074
Phone: 601-469-3320    Fax: 601-469-3323
Tamatha Nicole Owen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1061 Highway 35 S, Forest, MS 39074
Phone: 931-253-1110    
Megan Elizabeth Mcdaniel, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 504 Airport Rd Ste C, Forest, MS 39074
Phone: 601-333-2373    
Lotashia Patrick, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 316 N Water Tank Rd, Forest, MS 39074
Phone: 769-428-2452    

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.