Mrs Marisa Nicole Barlow, FNP is a medicare enrolled "Nurse Practitioner - Family" in Terry, Mississippi. Her current practice location is
209 N Oak Cv, Terry, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 622-1138.
Mrs Marisa Nicole Barlow is licensed to practice in Mississippi (license number 904848) 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 1922761733.
Provider's Profile
| Full Name | Mrs Marisa Nicole Barlow |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 209 N Oak Cv, Terry, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922761733
- Provider Enumeration Date: 10/19/2021
- Last Update Date: 10/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113310731
- Enrollment ID: I20220203000567
Medical Identifiers
Medical identifiers for Mrs Marisa Nicole Barlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922761733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 904848 (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 Marisa Nicole Barlow allows following entities to bill medicare on her behalf.
| Entity Name | Maxem Health Urgent Care Flowood |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174070650 PECOS PAC ID: 9335429422 Enrollment ID: O20161207000648 |
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| Entity Name | Fast Pace Mississippi Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
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| Entity Name | Community Care Health Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
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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 Marisa Nicole Barlow 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 Marisa Nicole Barlow, FNP 209 N Oak Cv, Terry, MS 39170-8145 Ph: (601) 622-1138 | Mrs Marisa Nicole Barlow, FNP 209 N Oak Cv, Terry, MS 39170-8145 Ph: (601) 622-1138 |
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