Tina U Mabry, FNP - Medicare Nurse Practitioner in Lake, MS

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Tina U Mabry, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake, Mississippi. Her current practice location is 24489 Highway 80, Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 775-3264.

Tina U Mabry is licensed to practice in Mississippi (license number R588199) 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 1003898859.

Contact Information

Tina U Mabry, FNP
24489 Highway 80,
Lake, MS 39092-3511
(601) 775-3264
(601) 775-3097

Map and Direction




Provider's Profile

Full NameTina U Mabry
GenderFemale
SpecialityNurse Practitioner - Family
Location24489 Highway 80, Lake, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003898859
  • Provider Enumeration Date: 11/17/2005
  • Last Update Date: 11/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8022024223
  • Enrollment ID: I20060224000560

Medical Identifiers

Medical identifiers for Tina U Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003898859NPI-NPPES
00013436MedicaidMS
500008623OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R588199 (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. Tina U Mabry allows following entities to bill medicare on her behalf.
Entity NameScott Regional Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639367188
PECOS PAC ID: 0648366260
Enrollment ID: O20080423000448

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. Tina U Mabry 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
Tina U Mabry, FNP
Po Box 2065,
Meridian, MS 39302-2065

Ph: (601) 703-4282		Tina U Mabry, FNP
24489 Highway 80,
Lake, MS 39092-3511

Ph: (601) 775-3264

Reviews and Comments



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.