Theresa Renee King, RN, CFNP - Medicare Nurse Practitioner in Brookhaven, MS

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Theresa Renee King, RN, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. Her current practice location is 427 Highway 51 N, Brookhaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 826-5500.

Theresa Renee King is licensed to practice in Mississippi (license number R873560) 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 1669576989.

Contact Information

Theresa Renee King, RN, CFNP
427 Highway 51 N,
Brookhaven, MS 39601-2350
(601) 826-5500
(601) 420-5299

Map and Direction




Provider's Profile

Full NameTheresa Renee King
GenderFemale
SpecialityNurse Practitioner - Family
Location427 Highway 51 N, Brookhaven, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669576989
  • Provider Enumeration Date: 09/08/2006
  • Last Update Date: 10/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6204727233
  • Enrollment ID: I20050202000788

Medical Identifiers

Medical identifiers for Theresa Renee King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669576989NPI-NPPES
02572058MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R873560 (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. Theresa Renee King allows following entities to bill medicare on her behalf.
Entity NameHarrison Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467410936
PECOS PAC ID: 6608851597
Enrollment ID: O20050412001039
Entity NameOrange Grove Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Entity NameOcean Springs Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871808022
PECOS PAC ID: 0244426195
Enrollment ID: O20101118000444
Entity NameHattiesburg Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164805156
PECOS PAC ID: 4981913308
Enrollment ID: O20151024000062
Entity NameMaxem Health Urgent Care Flowood
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174070650
PECOS PAC ID: 9335429422
Enrollment ID: O20161207000648
Entity NameApp Of Mississippi Ed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534
Entity NameMaxem Health Urgent Care Diberville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265991608
PECOS PAC ID: 1759624968
Enrollment ID: O20190622000032

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. Theresa Renee King 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
Theresa Renee King, RN, CFNP
Po Box 1805,
Brandon, MS 39043-1805

Ph: (601) 826-5500		Theresa Renee King, RN, CFNP
427 Highway 51 N,
Brookhaven, MS 39601-2350

Ph: (601) 826-5500

Reviews and Comments


Nurse Practitioner Nurses in Brookhaven, MS

Miss Montoyae C Leavy, NP
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Jennifer D Smith, FNP
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Phone: 601-835-1062    
Miss Brittany Griffin Mullins, NP-C
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Practice Location: 201 Highway 51 N Ste A, Brookhaven, MS 39601
Phone: 601-833-5333    

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.