Maria Morrison Dominick, PMHNP - Medicare Nurse Practitioner in Diberville, MS

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Maria Morrison Dominick, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Diberville, Mississippi. Her current practice location is 3446 Popp's Ferry Road, Diberville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 392-4153.

Maria Morrison Dominick is licensed to practice in Mississippi (license number 906771) 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 1841866050.

Contact Information

Maria Morrison Dominick, PMHNP
3446 Popp's Ferry Road,
Diberville, MS 39540
(228) 392-4153
Not Available

Map and Direction




Provider's Profile

Full NameMaria Morrison Dominick
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3446 Popp's Ferry Road, Diberville, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841866050
  • Provider Enumeration Date: 05/28/2021
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446798623
  • Enrollment ID: I20240819004170

Medical Identifiers

Medical identifiers for Maria Morrison Dominick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841866050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 901428 (Mississippi)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 906771 (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. Maria Morrison Dominick allows following entities to bill medicare on her behalf.
Entity NameCoastal Family Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629066782
PECOS PAC ID: 8628989654
Enrollment ID: O20040108000698

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. Maria Morrison Dominick 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
Maria Morrison Dominick, PMHNP
Po Box 18679,
Hattiesburg, MS 39404-8679

Ph: (601) 705-1901		Maria Morrison Dominick, PMHNP
3446 Popp's Ferry Road,
Diberville, MS 39540

Ph: (228) 392-4153

Reviews and Comments


Nurse Practitioner Nurses in Diberville, MS

Boqin Hu, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3446 Big Ridge Rd, Diberville, MS 39540
Phone: 228-386-1185    
Peaches Palmer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3661 Sangani Blvd Ste E, Diberville, MS 39540
Phone: 228-354-0022    
Scarlet Gould, DNP
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Medicare: Medicare Enrolled
Practice Location: 3661 Sangani Blvd Ste D1, Diberville, MS 39540
Phone: 228-300-8235    Fax: 228-207-1938
Shekina T Dillon, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3446 Popps Ferry Rd, Diberville, MS 39540
Phone: 228-374-2494    
Mrs. Susan Owens Rojas, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3661 Sangani Blvd Suite E, Diberville, MS 39540
Phone: 228-354-0022    Fax: 228-354-0088
Carla Diane Diffenderfer, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540
Phone: 228-207-4190    Fax: 228-207-4156
Chelsey E Windham, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3920 Promenade Pkwy Ste A, Diberville, MS 39540
Phone: 228-456-0173    

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.