Mr Leo Rourke, ARNP in Olive Branch, MS - Medicare Nurse Practitioner

Mr Leo Rourke, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Olive Branch, Mississippi. His current practice location is 9075 Sandidge Center Cv, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 893-8484.

Mr Leo Rourke is licensed to practice in Mississippi (license number 901896) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578552188.

Contact Information

	Mr Leo Rourke, ARNP
	9075 Sandidge Center Cv, Olive Branch, MS 38654-3514
	(662) 893-8484
	(662) 893-1103

Map and Direction

Provider's Profile

Full Name	Mr Leo Rourke
Gender	Male
Speciality	Nurse Practitioner - Family
Location	9075 Sandidge Center Cv, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578552188
Provider Enumeration Date: 10/17/2005
Last Update Date: 02/09/2017

Medicare PECOS Information:

PECOS PAC ID: 0143110981
Enrollment ID: I20040317000106

Medical Identifiers

Medical identifiers for Mr Leo Rourke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578552188	NPI	-	NPPES
3903211	Other	TN	FEDERAL MEDICARE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN0000006732 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	901896 (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. Mr Leo Rourke allows following entities to bill medicare on his behalf.

Entity Name	Olive Branch Family Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629018478 PECOS PAC ID: 2567351984 Enrollment ID: O20040313000211

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. Mr Leo Rourke 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
Mr Leo Rourke, ARNP 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 Ph: (662) 893-8484	Mr Leo Rourke, ARNP 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 Ph: (662) 893-8484

Reviews and Comments

Nurse Practitioner Nurses in Olive Branch, MS

Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806
Jennifer C Sanders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197
Mrs. Misty Moore Ivy, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7203 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-2322
Wanda Brown, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776
Queen Mcghee, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111

Mr Leo Rourke, ARNP - Medicare Nurse Practitioner in Olive Branch, MS