Diane Van, DNP, FNP - Medicare Nurse Practitioner in Mccomb, MS

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Diane Van, DNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mccomb, Mississippi. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest Mississippi Regional Medical Center, Mccomb Og-gyn Associated and her current practice location is 205 Marion Ave, Mccomb, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 684-9116.

Diane Van is licensed to practice in Mississippi (license number 904388) 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 1629685599.

Contact Information

Diane Van, DNP, FNP
205 Marion Ave,
Mccomb, MS 39648-2705
(601) 684-9116
(601) 684-9126

Map and Direction




Provider's Profile

Full NameDiane Van
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location205 Marion Ave, Mccomb, 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:
  • Diane Van graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1629685599
  • Provider Enumeration Date: 09/25/2020
  • Last Update Date: 11/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951718246
  • Enrollment ID: I20210405000208

Medical Identifiers

Medical identifiers for Diane Van such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629685599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904388 (Mississippi)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
163W00000XRegistered Nurse 902568 (Mississippi)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southwest Ms Regional Medical CenterMccomb, MSHospital
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Mississippi Regional Medical Center519363390782
Mccomb Og-gyn Associated61038339594

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. Diane Van allows following entities to bill medicare on her behalf.
Entity NameMccomb Og-gyn Associated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952411217
PECOS PAC ID: 6103833959
Enrollment ID: O20060320000329
Entity NameSouthwest Mississippi Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982174488
PECOS PAC ID: 5193633907
Enrollment ID: O20080512000004
Entity NameVpa PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Diane Van 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
Diane Van, DNP, FNP
334 25th St,
Mccomb, MS 39648-5510

Ph: Not Available		Diane Van, DNP, FNP
205 Marion Ave,
Mccomb, MS 39648-2705

Ph: (601) 684-9116

Reviews and Comments


Nurse Practitioner Nurses in Mccomb, MS

Mrs. Betty Richardson, CNFP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 421 Marion Ave, Mccomb, MS 39648
Phone: 601-684-6891    Fax: 601-249-3834
Micah Kennedy Craft, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648
Phone: 601-682-7623    
Mrs. Mary Thornton, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Rawls Dr Ste I, Mccomb, MS 39648
Phone: 601-249-4710    Fax: 601-249-4716
William Jason Bass, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-5500    Fax: 954-367-8523
Ms. Robin Bass Spring, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 220 Scott Dr, Mccomb, MS 39648
Phone: 601-680-0371    
Sunja Tate, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 300 Rawls Drive, Suite 100, Mccomb, MS 39649
Phone: 601-684-7623    Fax: 877-795-9891
Kosheya Johnson, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Rawls Dr Ste A, Mccomb, MS 39648
Phone: 601-684-2481    Fax: 601-684-2488

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.