Mrs Lisa Deloris Slade, FNP-BC in Hattiesburg, MS

Mrs Lisa Deloris Slade, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Hattiesburg, Mississippi. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Murphy S. Martin, M.d., Pllc and her current practice location is 605 Stadium Dr, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 450-0310.

Mrs Lisa Deloris Slade is licensed to practice in Mississippi (license number R772518) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013080027.

Contact Information

	Mrs Lisa Deloris Slade, FNP-BC
	605 Stadium Dr, Hattiesburg, MS 39401-4156
	(601) 450-0310
	(601) 450-0321

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Deloris Slade
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	605 Stadium Dr, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lisa Deloris Slade graduated from nursing school in 2006

NPI Data:

NPI Number: 1013080027
Provider Enumeration Date: 11/16/2006
Last Update Date: 01/09/2015

Medicare PECOS Information:

PECOS PAC ID: 0244334571
Enrollment ID: I20070327000300

Medical Identifiers

Medical identifiers for Mrs Lisa Deloris Slade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013080027	NPI	-	NPPES
08700008	Medicaid	MS
11838342	Other	MS	CAQH ID #
1719640P01	Other	MS	CIGNA
1043492770	Other	MS	FIRST CHOICE OF MISSISSIPPI
2888996	Other	MS	UNITED HEALTH CARE
9989130	Other	MS	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R772518 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Murphy S. Martin, M.d., Pllc	4688712243	8

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 Lisa Deloris Slade allows following entities to bill medicare on her behalf.

Entity Name	Murphy S. Martin, M.d., Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295963742 PECOS PAC ID: 4688712243 Enrollment ID: O20091119000154

Entity Name	At Home Primary Care Of Ms Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801515622 PECOS PAC ID: 1355726191 Enrollment ID: O20220915001310

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 Lisa Deloris Slade 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 Lisa Deloris Slade, FNP-BC Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-3700	Mrs Lisa Deloris Slade, FNP-BC 605 Stadium Dr, Hattiesburg, MS 39401-4156 Ph: (601) 450-0310

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Merrick Greene Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401 Phone: 601-554-7400
Sarah Alyssa Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212

Mrs Lisa Deloris Slade, FNP-BC - Medicare Nurse Practitioner in Hattiesburg, MS