Mary K Fouquier, PHD, RN, CNM in Jackson, MS - Medicare Advanced Practice Midwife

Mary K Fouquier, PHD, RN, CNM is a medicare enrolled "Advanced Practice Midwife" in Jackson, Mississippi. Her current practice location is 1207 N West St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 354-6654.

Mary K Fouquier is licensed to practice in Tennessee (license number 25784) 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 1396017646.

Contact Information

	Mary K Fouquier, PHD, RN, CNM
	1207 N West St, Jackson, MS 39202-2018
	(601) 354-6654
	(601) 354-6289

Map and Direction

Provider's Profile

Full Name	Mary K Fouquier
Gender	Female
Speciality	Advanced Practice Midwife
Location	1207 N West St, 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: 1396017646
Provider Enumeration Date: 02/02/2012
Last Update Date: 05/12/2020

Medicare PECOS Information:

PECOS PAC ID: 6204096381
Enrollment ID: I20191029000773

Medical Identifiers

Medical identifiers for Mary K Fouquier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396017646	NPI	-	NPPES
03285886	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	25784 (Tennessee)	Primary
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	R887487 (Mississippi)	Secondary

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. Mary K Fouquier allows following entities to bill medicare on her behalf.

Entity Name	Ut Regional One Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662

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. Mary K Fouquier 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
Mary K Fouquier, PHD, RN, CNM 1207 N West St, Jackson, MS 39202-2018 Ph: (601) 354-6654	Mary K Fouquier, PHD, RN, CNM 1207 N West St, Jackson, MS 39202-2018 Ph: (601) 354-6654

Reviews and Comments

Advanced Practice Midwife Nurses in Jackson, MS

Miss Gwen Bussa, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5160
Laura Rennie Gibson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-540-0968
Ms. Meggan Everett, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 405 Briarwood Dr Ste 303, Jackson, MS 39206 Phone: 769-233-8163
Dr. Janice Taleff Scaggs, CNM, DNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2500 N State St # L216, Jackson, MS 39216 Phone: 601-984-5300
Ms. Avis Elaine Haynes, PHD RN CNM FPNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 North State Street, Winfred Wiser Womens Hospital, Jackson, MS 39216 Phone: 601-815-7300 Fax: 601-815-7355
Miss Clarice Carroll, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5373 Fax: 601-984-5476

Mary K Fouquier, PHD, RN, CNM - Medicare Advanced Practice Midwife in Jackson, MS