Mrs Jessica Dawn Cotter, FNP-C in Southaven, MS

Mrs Jessica Dawn Cotter, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. Her current practice location is 75 Physicians Ln, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 393-7722.

Mrs Jessica Dawn Cotter is licensed to practice in Mississippi (license number 902174) 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 1194234575.

Contact Information

	Mrs Jessica Dawn Cotter, FNP-C
	75 Physicians Ln, Southaven, MS 38671-6102
	(662) 393-7722
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Dawn Cotter
Gender	Female
Speciality	Nurse Practitioner - Family
Location	75 Physicians Ln, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194234575
Provider Enumeration Date: 09/28/2017
Last Update Date: 03/26/2018

Medicare PECOS Information:

PECOS PAC ID: 2668878711
Enrollment ID: I20210915000791

Medical Identifiers

Medical identifiers for Mrs Jessica Dawn Cotter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194234575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	902174 (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 Jessica Dawn Cotter allows following entities to bill medicare on her behalf.

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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 Jessica Dawn Cotter 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 Jessica Dawn Cotter, FNP-C 75 Physicians Ln, Southaven, MS 38671-6102 Ph: (662) 393-7722	Mrs Jessica Dawn Cotter, FNP-C 75 Physicians Ln, Southaven, MS 38671-6102 Ph: (662) 393-7722

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Debra Gail Gill, RNC, MSN, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4892 Briarton Dr, Southaven, MS 38672 Phone: 901-262-0332
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Physicians Ln, Southaven, MS 38671 Phone: 662-655-2136

Mrs Jessica Dawn Cotter, FNP-C - Medicare Nurse Practitioner in Southaven, MS