Mrs Kimberlie La'tasha Mabry, FNP-C - Medicare Nurse Practitioner in Gautier, MS

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Mrs Kimberlie La'tasha Mabry, FNP-C is a medicare enrolled "Family Medicine" in Gautier, Mississippi. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Calcasieu Urgent Care Llc and her current practice location is 1509 Willowbend Dr, Gautier, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 627-1223.

Mrs Kimberlie La'tasha Mabry is licensed to practice in Mississippi (license number 905478) 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 1891422853.

Contact Information

Mrs Kimberlie La'tasha Mabry, FNP-C
1509 Willowbend Dr,
Gautier, MS 39553-7627
(228) 627-1223
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kimberlie La'tasha Mabry
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1509 Willowbend Dr, Gautier, Mississippi
Accepts Medicare AssignmentsYes. 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 Kimberlie La'tasha Mabry graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1891422853
  • Provider Enumeration Date: 08/01/2022
  • Last Update Date: 07/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325409865
  • Enrollment ID: I20230801001826

Medical Identifiers

Medical identifiers for Mrs Kimberlie La'tasha Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891422853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 905478 (Mississippi)Secondary
363L00000XNurse Practitioner 227359 (Louisiana)Secondary
207Q00000XFamily Medicine 905478 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Calcasieu Urgent Care Llc5496908071145

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 Kimberlie La'tasha Mabry allows following entities to bill medicare on her behalf.
Entity NameCalcasieu Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467715490
PECOS PAC ID: 5496908071
Enrollment ID: O20130109000768

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 Kimberlie La'tasha Mabry 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 AddressPractice Location Address
Mrs Kimberlie La'tasha Mabry, FNP-C
1509 Willowbend Dr,
Gautier, MS 39553-7627

Ph: (228) 627-1223		Mrs Kimberlie La'tasha Mabry, FNP-C
1509 Willowbend Dr,
Gautier, MS 39553-7627

Ph: (228) 627-1223

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.