Mrs Jennifer R Boutwell, FNP in Mccomb, MS - Medicare Nurse Practitioner

Mrs Jennifer R Boutwell, FNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Mccomb, Mississippi. Her current practice location is 303 Marion Ave, Mccomb, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 249-1350.

Mrs Jennifer R Boutwell is licensed to practice in Mississippi (license number R880925) 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 1184958969.

Contact Information

	Mrs Jennifer R Boutwell, FNP
	303 Marion Ave, Mccomb, MS 39648-2707
	(601) 249-1350
	(601) 249-1339

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer R Boutwell
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	303 Marion Ave, Mccomb, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184958969
Provider Enumeration Date: 09/25/2009
Last Update Date: 09/25/2009

Medicare PECOS Information:

PECOS PAC ID: 5698815439
Enrollment ID: I20091229000564

Medical Identifiers

Medical identifiers for Mrs Jennifer R Boutwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184958969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R880925 (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. Mrs Jennifer R Boutwell allows following entities to bill medicare on her behalf.

Entity Name	Covington County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816

Entity Name	Kings Daughters Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174

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. Mrs Jennifer R Boutwell 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
Mrs Jennifer R Boutwell, FNP 303 Marion Ave, Mccomb, MS 39648-2707 Ph: (601) 249-1350	Mrs Jennifer R Boutwell, FNP 303 Marion Ave, Mccomb, MS 39648-2707 Ph: (601) 249-1350

Reviews and Comments

Nurse Practitioner Nurses in Mccomb, MS

Mrs. Betty Richardson, CNFP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Marion Ave, Mccomb, MS 39648 Phone: 601-684-6891 Fax: 601-249-3834
Micah Kennedy Craft, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648 Phone: 601-682-7623
Mrs. Mary Thornton, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Rawls Dr, Ste 1200, Mccomb, MS 39648 Phone: 601-249-4710 Fax: 601-249-4716
William Jason Bass, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 954-367-8523
Ms. Robin Bass Spring, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Scott Dr, Mccomb, MS 39648 Phone: 601-680-0371
Sunja Tate, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Drive, Suite 100, Mccomb, MS 39649 Phone: 601-684-7623 Fax: 877-795-9891
Kosheya Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Rawls Dr Ste 100, Mccomb, MS 39648 Phone: 601-684-2481 Fax: 601-684-2488

Mrs Jennifer R Boutwell, FNP - Medicare Nurse Practitioner in Mccomb, MS