Shakita Diane Rawls, NURSE PRACTITIONER in Tylertown, MS

Shakita Diane Rawls, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Tylertown, Mississippi. Her current practice location is 155 Hospital Dr, Tylertown, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 876-5337.

Shakita Diane Rawls is licensed to practice in Mississippi (license number 902365) 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 1275043127.

Contact Information

	Shakita Diane Rawls, NURSE PRACTITIONER
	155 Hospital Dr, Tylertown, MS 39667-2021
	(601) 876-5337
	(601) 876-5190

Map and Direction

Provider's Profile

Full Name	Shakita Diane Rawls
Gender	Female
Speciality	Nurse Practitioner - Family
Location	155 Hospital Dr, Tylertown, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275043127
Provider Enumeration Date: 10/05/2017
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 5991046740
Enrollment ID: I20190404002656

Medical Identifiers

Medical identifiers for Shakita Diane Rawls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275043127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	892142 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	902365 (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. Shakita Diane Rawls allows following entities to bill medicare on her behalf.

Entity Name	Quality Medical Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720497936 PECOS PAC ID: 4688998172 Enrollment ID: O20150109000472

Entity Name	Progressive Medical Management Of Batesville Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265

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. Shakita Diane Rawls 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
Shakita Diane Rawls, NURSE PRACTITIONER 155 Hospital Dr, Tylertown, MS 39667-2021 Ph: (601) 876-5337	Shakita Diane Rawls, NURSE PRACTITIONER 155 Hospital Dr, Tylertown, MS 39667-2021 Ph: (601) 876-5337

Reviews and Comments

Nurse Practitioner Nurses in Tylertown, MS

Regina A Williams, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5303 Fax: 601-876-0653
Carol Hobgood, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5303
Dr. Deondra Monique Carr, PHD, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 Need Yarborough Rd, Tylertown, MS 39667 Phone: 601-502-4187
Chelsea Hill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Plaza Dr Ste C, Tylertown, MS 39667 Phone: 601-803-5676 Fax: 601-803-5677
Mrs. Erin Broome Riley, MSN, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5835 Fax: 601-876-5295
Timothy Paul Martin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Cir, Tylertown, MS 39667 Phone: 731-394-1145
Pamela Dillon, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 Enochs St, Tylertown, MS 39667 Phone: 601-876-3858 Fax: 601-825-8130

Shakita Diane Rawls, NURSE PRACTITIONER - Medicare Nurse Practitioner in Tylertown, MS