Teresa Raybourn, FNP-BC in Raleigh, MS - Medicare Nurse Practitioner

Teresa Raybourn, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Raleigh, Mississippi. Her current practice location is 226 Whiteoak Ave, Raleigh, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 825-7280.

Teresa Raybourn is licensed to practice in Mississippi (license number R746931) 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 1992782304.

Contact Information

	Teresa Raybourn, FNP-BC
	226 Whiteoak Ave, Raleigh, MS 39153-6082
	(601) 825-7280
	(601) 825-8130

Map and Direction

Provider's Profile

Full Name	Teresa Raybourn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	226 Whiteoak Ave, Raleigh, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992782304
Provider Enumeration Date: 12/28/2005
Last Update Date: 10/14/2016

Medicare PECOS Information:

PECOS PAC ID: 0244289528
Enrollment ID: I20050113000268

Medical Identifiers

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

Identifier	Type	State	Issuer
1992782304	NPI	-	NPPES
P00872423	Other	MS	RAILROAD MEDICARE
00119934	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R746931 (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 Raybourn allows following entities to bill medicare on her behalf.

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 Raybourn 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 Raybourn, FNP-BC Po Box 24116, Jackson, MS 39225-4116 Ph: (601) 825-7280	Teresa Raybourn, FNP-BC 226 Whiteoak Ave, Raleigh, MS 39153-6082 Ph: (601) 825-7280

Reviews and Comments

Nurse Practitioner Nurses in Raleigh, MS

Mrs. Pamela Denise Hardin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-5665
Donna L Baucum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-9797 Fax: 601-782-9790
Kimberly Sharelle Watkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-4244
Mrs. Carol Darlene Richmond-stephens, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-782-9919 Fax: 601-825-8130
Debra Mims Develin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Magnolia Dr, Raleigh, MS 39153 Phone: 601-374-8145 Fax: 601-374-8153
Alexandra Winn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 White Oak Ave, Raleigh, MS 39153 Phone: 601-782-9919

Teresa Raybourn, FNP-BC - Medicare Nurse Practitioner in Raleigh, MS