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

Susan L Dubose, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Sumrall, Mississippi. She graduated from nursing school in 2010 and has 14 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 NameSusan L Dubose
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1238 Highway 42, Sumrall, 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:
  • 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.
IdentifierTypeStateIssuer
1619274032NPI-NPPES
12214870OtherMSC A Q H PROVIDER NUMBER
926646OtherMSAETNA
03388585MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R872039 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794489

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 NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685
Entity NameOrange Grove Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Entity NameHattiesburg Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164805156
PECOS PAC ID: 4981913308
Enrollment ID: O20151024000062
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

Brad H Massey, AACNP, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 348 Knight Rd, Sumrall, MS 39482
Phone: 601-606-6326    
Jacentha Latress Miller, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 49 Latigo Loop, Sumrall, MS 39482
Phone: 601-596-6894    
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    
Pamela Jane Thompson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 348 Knight Rd, Sumrall, MS 39482
Phone: 251-847-3374    Fax: 251-847-3374
Aimmee Rochelle Chestang, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 33 Chastain Ln, Sumrall, MS 39482
Phone: 601-807-0921    

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.