Nicholas Embey Fore, - Medicare Nurse Practitioner in Gulfport, MS

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Nicholas Embey Fore, is a medicare enrolled "Nurse Practitioner - Family" in Gulfport, Mississippi. His current practice location is 15200 Community Rd, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 575-7120.

Nicholas Embey Fore is licensed to practice in Mississippi (license number 907181) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669297594.

Contact Information

Nicholas Embey Fore,
15200 Community Rd,
Gulfport, MS 39503-3085
(228) 575-7120
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Embey Fore
GenderMale
SpecialityNurse Practitioner - Family
Location15200 Community Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669297594
  • Provider Enumeration Date: 11/15/2024
  • Last Update Date: 03/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032632534
  • Enrollment ID: I20250325003195

Medical Identifiers

Medical identifiers for Nicholas Embey Fore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669297594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 909769 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 907181 (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. Nicholas Embey Fore allows following entities to bill medicare on his behalf.
Entity NameMississippi Emergency Department Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881427961
PECOS PAC ID: 7113453960
Enrollment ID: O20241204001265

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. Nicholas Embey Fore 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
Nicholas Embey Fore,
15200 Community Rd,
Gulfport, MS 39503-3085

Ph: (228) 234-7063		Nicholas Embey Fore,
15200 Community Rd,
Gulfport, MS 39503-3085

Ph: (228) 575-7120

Reviews and Comments


Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman,
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Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503
Phone: 228-575-2176    
Tracy Leigh Ladner, C.F.N.P
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Practice Location: 15200 Community Rd, Gulfport, MS 39503
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Practice Location: 4500 13th St, Gulfport, MS 39501
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Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507
Phone: 228-896-4417    Fax: 228-604-0121
Ashley Barq House, FNP-C
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Phone: 228-867-6062    Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP
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Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    
Mrs. Michelle Wright Taylor, ACNP
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Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503
Phone: 228-539-3356    

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.