Jequetta Shureka Ilion Mclaurin, FNP in Jackson, MS

Jequetta Shureka Ilion Mclaurin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. Her current practice location is 3502 W Northside Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 362-5321.

Jequetta Shureka Ilion Mclaurin is licensed to practice in Mississippi (license number 906074) 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 1013698513.

Contact Information

	Jequetta Shureka Ilion Mclaurin, FNP
	3502 W Northside Dr, Jackson, MS 39213-4454
	(601) 362-5321
	Not Available

Map and Direction

Provider's Profile

Full Name	Jequetta Shureka Ilion Mclaurin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3502 W Northside Dr, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013698513
Provider Enumeration Date: 07/27/2023
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9537517040
Enrollment ID: I20231122000335

Medical Identifiers

Medical identifiers for Jequetta Shureka Ilion Mclaurin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013698513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	906074 (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. Jequetta Shureka Ilion Mclaurin allows following entities to bill medicare on her behalf.

Entity Name	Central Mississippi Civic Improvement Association, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134151442 PECOS PAC ID: 4183533235 Enrollment ID: O20040128000125

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. Jequetta Shureka Ilion Mclaurin 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
Jequetta Shureka Ilion Mclaurin, FNP 713 S Pear Orchard Rd Ste 300, Ridgeland, MS 39157-4823 Ph: (601) 957-6300	Jequetta Shureka Ilion Mclaurin, FNP 3502 W Northside Dr, Jackson, MS 39213-4454 Ph: (601) 362-5321

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
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Jequetta Shureka Ilion Mclaurin, FNP - Medicare Nurse Practitioner in Jackson, MS