Roxane Theresa Moncure, AGNP - Medicare Nurse Practitioner in Vicksburg, MS

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Roxane Theresa Moncure, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Vicksburg, Mississippi. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wound Management Specialists Llc, Heal All Wound Care Llc and her current practice location is 1911 Mission 66 Ste B, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 456-2598.

Roxane Theresa Moncure is licensed to practice in Mississippi (license number AG01190040) 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 1396202396.

Contact Information

Roxane Theresa Moncure, AGNP
1911 Mission 66 Ste B,
Vicksburg, MS 39180-3762
(601) 456-2598
(855) 830-3484

Map and Direction




Provider's Profile

Full NameRoxane Theresa Moncure
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1911 Mission 66 Ste B, Vicksburg, 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:
  • Roxane Theresa Moncure graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1396202396
  • Provider Enumeration Date: 02/26/2019
  • Last Update Date: 08/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8224949433
  • Enrollment ID: I20191018000052

Medical Identifiers

Medical identifiers for Roxane Theresa Moncure such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396202396NPI-NPPES
903127OtherMSWOUNDCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology AG01190040 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wound Management Specialists Llc5193056364123
Heal All Wound Care Llc81235619664

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. Roxane Theresa Moncure allows following entities to bill medicare on her behalf.
Entity NameMdb Behavioral Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669835310
PECOS PAC ID: 0749572915
Enrollment ID: O20160708000104
Entity NameHealthcare Plus Limited Liability Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063927465
PECOS PAC ID: 5698038610
Enrollment ID: O20180404001439
Entity NameUppal Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558927905
PECOS PAC ID: 4587998547
Enrollment ID: O20190625001406
Entity NameWound Management Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20191021000339
Entity NameHeal All Wound Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093554982
PECOS PAC ID: 8123561966
Enrollment ID: O20240620002989

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. Roxane Theresa Moncure 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
Roxane Theresa Moncure, AGNP
919 Rutherford Dr,
Jackson, MS 39206-2033

Ph: (601) 259-6426		Roxane Theresa Moncure, AGNP
1911 Mission 66 Ste B,
Vicksburg, MS 39180-3762

Ph: (601) 456-2598

Reviews and Comments


Nurse Practitioner Nurses in Vicksburg, MS

Jenifer Justice, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180
Phone: 014-562-5986    Fax: 855-830-3484
Mrs. Kimberly Fuller, MSN, ACNP - BS
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Mrs. Latasha Jackson Claiborne, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180
Phone: 601-638-0031    
Nina Tomlinson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Monroe St, Vicksburg, MS 39183
Phone: 601-636-4356    
Linda Cheslek,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Monroe St, Vicksburg, MS 39183
Phone: 601-636-4356    
Kerrie Sanders- Smith,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180
Phone: 601-638-8600    
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP-
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183
Phone: 014-562-2776    Fax: 601-456-2622

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.