Susan L Dubose, FNP-BC in Sumrall, MS - Medicare Nurse Practitioner

Susan L Dubose, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Sumrall, Mississippi. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hattiesburg Clinic Pa and her current practice location is 1238 Highway 42, Sumrall, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 758-3100.

Susan L Dubose is licensed to practice in Mississippi (license number R872039) 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 1619274032.

Contact Information

	Susan L Dubose, FNP-BC
	1238 Highway 42, Sumrall, MS 39482-9519
	(601) 758-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan L Dubose
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	1238 Highway 42, Sumrall, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan L Dubose graduated from nursing school in 2010

NPI Data:

NPI Number: 1619274032
Provider Enumeration Date: 02/21/2011
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6901080076
Enrollment ID: I20110414000208

Medical Identifiers

Medical identifiers for Susan L Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619274032	NPI	-	NPPES
12214870	Other	MS	C A Q H PROVIDER NUMBER
926646	Other	MS	AETNA
03388585	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R872039 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Davis General Hospital	Prentiss, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic Pa	5193706794	492

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. Susan L Dubose allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Orange Grove Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831330661 PECOS PAC ID: 6103978721 Enrollment ID: O20090713000442

Entity Name	Hattiesburg Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164805156 PECOS PAC ID: 4981913308 Enrollment ID: O20151024000062

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Susan L Dubose 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
Susan L Dubose, FNP-BC 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 758-3100	Susan L Dubose, FNP-BC 1238 Highway 42, Sumrall, MS 39482-9519 Ph: (601) 758-3100

Reviews and Comments

Nurse Practitioner Nurses in Sumrall, MS

Lindsey Boswell, APRN FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Parrish Rd, Sumrall, MS 39482 Phone: 601-410-3262
Sarah M Wainwright, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060
Mrs. Jamie Elaine Thornton, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100
Leslie Rollins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4881 Highway 589, Sumrall, MS 39482 Phone: 601-336-9099 Fax: 601-550-6184
Aimmee Rochelle Chestang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Chastain Ln, Sumrall, MS 39482 Phone: 601-807-0921
Dylan Pittman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100
Lauren M Walters, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060

Susan L Dubose, FNP-BC - Medicare Nurse Practitioner in Sumrall, MS