Teresa Conerly, NPC in Monticello, MS - Medicare Nurse Practitioner

Teresa Conerly, NPC is a medicare enrolled "Nurse Practitioner - Family" in Monticello, Mississippi. Her current practice location is 430 W Broad St, Monticello, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 825-7280.

Teresa Conerly is licensed to practice in Mississippi (license number R855066) 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 1285065292.

Contact Information

	Teresa Conerly, NPC
	430 W Broad St, Monticello, MS 39654-7723
	(601) 825-7280
	(601) 825-8130

Map and Direction

Provider's Profile

Full Name	Teresa Conerly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	430 W Broad St, Monticello, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285065292
Provider Enumeration Date: 12/02/2013
Last Update Date: 10/14/2016

Medicare PECOS Information:

PECOS PAC ID: 5092946996
Enrollment ID: I20140318000261

Medical Identifiers

Medical identifiers for Teresa Conerly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285065292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R855066 (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. Teresa Conerly allows following entities to bill medicare on her behalf.

Entity Name	Ms State Department Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937

Entity Name	Family Health Care Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179

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. Teresa Conerly 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
Teresa Conerly, NPC 12 Mccray Rd, Jayess, MS 39641-8053 Ph: () -	Teresa Conerly, NPC 430 W Broad St, Monticello, MS 39654-7723 Ph: (601) 825-7280

Reviews and Comments

Nurse Practitioner Nurses in Monticello, MS

Mrs. Rebecca Hussey Burris, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 F. E. Sellers Highway, Monticello, MS 39654 Phone: 601-587-4648 Fax: 601-587-0613
Becky Jan Mercier, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256
Molly Grubbs Mayhugh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Main St Ste D, Monticello, MS 39654 Phone: 601-587-4304 Fax: 601-587-4515
Genie B Vaughan, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256
Tonjia S Lang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4739 Highway 587, Monticello, MS 39654 Phone: 601-695-3745
Kelly Ervin Hoskins, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Main St Ste B, Monticello, MS 39654 Phone: 601-393-1953 Fax: 601-393-1954

Teresa Conerly, NPC - Medicare Nurse Practitioner in Monticello, MS