Mr Ralph Lane Burroughs Iii, NP in Gulfport, MS

Mr Ralph Lane Burroughs Iii, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gulfport, Mississippi. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 8990 Lorraine Rd, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 331-3310.

Mr Ralph Lane Burroughs Iii is licensed to practice in Mississippi (license number R855758) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760674949.

Contact Information

	Mr Ralph Lane Burroughs Iii, NP
	8990 Lorraine Rd, Gulfport, MS 39503-4176
	(228) 331-3310
	(228) 284-1608

Map and Direction

Provider's Profile

Full Name	Mr Ralph Lane Burroughs Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	17 Years
Location	8990 Lorraine Rd, Gulfport, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Ralph Lane Burroughs Iii graduated from nursing school in 2007

NPI Data:

NPI Number: 1760674949
Provider Enumeration Date: 08/13/2007
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0143402420
Enrollment ID: I20110308000397

Medical Identifiers

Medical identifiers for Mr Ralph Lane Burroughs Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760674949	NPI	-	NPPES
R855758	Other	MS	NURSING LISCENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R855758 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R855758 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health Biloxi	Biloxi, MS	Hospital

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 Ralph Lane Burroughs Iii allows following entities to bill medicare on his behalf.

Entity Name	Md Billing, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548474042 PECOS PAC ID: 0648210831 Enrollment ID: O20050506000374

Entity Name	A-z Behavioral Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669898961 PECOS PAC ID: 5991931313 Enrollment ID: O20160526000552

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 Ralph Lane Burroughs Iii 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 Ralph Lane Burroughs Iii, NP 8990 Lorraine Rd, Gulfport, MS 39503-4176 Ph: (228) 331-3310	Mr Ralph Lane Burroughs Iii, NP 8990 Lorraine Rd, Gulfport, MS 39503-4176 Ph: (228) 331-3310

Reviews and Comments

Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356

Mr Ralph Lane Burroughs Iii, NP - Medicare Nurse Practitioner in Gulfport, MS