Kimberly Johnson Gross, FNP, PMHNP in Brandon, MS

Kimberly Johnson Gross, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Family" in Brandon, Mississippi. Her current practice location is 348 Crossgates Blvd Ste 1500, Brandon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 824-2236.

Kimberly Johnson Gross is licensed to practice in Mississippi (license number 875256) 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 1801368741.

Contact Information

	Kimberly Johnson Gross, FNP, PMHNP
	348 Crossgates Blvd Ste 1500, Brandon, MS 39042-2687
	(601) 824-2236
	(601) 825-2699

Map and Direction

Provider's Profile

Full Name	Kimberly Johnson Gross
Gender	Female
Speciality	Nurse Practitioner - Family
Location	348 Crossgates Blvd Ste 1500, Brandon, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801368741
Provider Enumeration Date: 12/17/2018
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1456690999
Enrollment ID: I20190228001435

Medical Identifiers

Medical identifiers for Kimberly Johnson Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801368741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	875256 (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. Kimberly Johnson Gross allows following entities to bill medicare on her behalf.

Entity Name	River Oaks Management Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093

Entity Name	Flowood River Oaks Hma Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668

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. Kimberly Johnson Gross 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
Kimberly Johnson Gross, FNP, PMHNP 7215 S Siwell Rd, Byram, MS 39272-9776 Ph: (601) 373-2204	Kimberly Johnson Gross, FNP, PMHNP 348 Crossgates Blvd Ste 1500, Brandon, MS 39042-2687 Ph: (601) 824-2236

Reviews and Comments

Nurse Practitioner Nurses in Brandon, MS

Brandy Nicole Newsome Byrd, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342
Mrs. Brittany Lauren Hall, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600
Donald J Garrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 762 Highway 468, Brandon, MS 39042 Phone: 601-824-0988 Fax: 601-824-0987
Ladonna Baker Delariva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3949 Ms-43, Brandon, MS 39047 Phone: 855-712-7627
Mr. Joseph Doyle Jones, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Lake Harbor Rd, Brandon, MS 39047 Phone: 601-259-6979
Kenneth John Risinger, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 E Government St, Brandon, MS 39042 Phone: 903-824-8880
Kelli Jean Huggins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 408 Pinebrook Cir, Brandon, MS 39047 Phone: 662-739-3576

Kimberly Johnson Gross, FNP, PMHNP - Medicare Nurse Practitioner in Brandon, MS