Tyrone Leavette Rupert, NP - Medicare Nurse Practitioner in Columbus, MS

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Tyrone Leavette Rupert, NP is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Mississippi. He graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Maxem Health Urgent Care Mccomb, Maxem Health Urgent Care Flowood and his current practice location is 824 Alabama St, Columbus, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 244-0391.

Tyrone Leavette Rupert is licensed to practice in Mississippi (license number R867788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164759965.

Contact Information

Tyrone Leavette Rupert, NP
824 Alabama St,
Columbus, MS 39702-5436
(662) 244-0391
Not Available

Map and Direction




Provider's Profile

Full NameTyrone Leavette Rupert
GenderMale
SpecialityNurse Practitioner
Experience16 Years
Location824 Alabama St, Columbus, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyrone Leavette Rupert graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1164759965
  • Provider Enumeration Date: 11/16/2009
  • Last Update Date: 11/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3173704319
  • Enrollment ID: I20110222000645

Medical Identifiers

Medical identifiers for Tyrone Leavette Rupert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164759965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R867788 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maxem Health Urgent Care Mccomb630518195912
Maxem Health Urgent Care Flowood93354294229

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. Tyrone Leavette Rupert allows following entities to bill medicare on his behalf.
Entity NameUnited Emergency Services Of Mississippi
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801983309
PECOS PAC ID: 9739188046
Enrollment ID: O20061214000504
Entity NameKeystone Medical Services Of Ms Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174691059
PECOS PAC ID: 7618075177
Enrollment ID: O20070606000447
Entity NamePascagoula Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235442872
PECOS PAC ID: 8527241207
Enrollment ID: O20110318000278
Entity NamePetal Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982908877
PECOS PAC ID: 9133303811
Enrollment ID: O20110404000578
Entity NameRelias Emergency Medicine Specialists Of Tupelo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841664661
PECOS PAC ID: 6608179734
Enrollment ID: O20160125001174
Entity NameKeystone Medical Services Of Gulfport Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881070183
PECOS PAC ID: 7113221011
Enrollment ID: O20160215000517
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 Mccomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235619479
PECOS PAC ID: 6305181959
Enrollment ID: O20181231000649
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. Tyrone Leavette Rupert 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
Tyrone Leavette Rupert, NP
3119 Sierra Ct,
Columbus, MS 39705-1807

Ph: (662) 889-3246		Tyrone Leavette Rupert, NP
824 Alabama St,
Columbus, MS 39702-5436

Ph: (662) 244-0391

Reviews and Comments


Nurse Practitioner Nurses in Columbus, MS

Mrs. Celia Lasky Kidder, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2110 5th St N, Columbus, MS 39705
Phone: 662-243-2435    Fax: 662-328-7037
Dr. Janice Davidson, PHD FNP-BC FAANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 514 7th St S, Columbus, MS 39701
Phone: 662-328-6293    
Misti Garnett, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 56 Dutch Ln, Columbus, MS 39702
Phone: 662-329-3808    Fax: 662-329-3873
Tiffany Watson, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Bluecutt Rd Ste 101, Columbus, MS 39705
Phone: 662-570-4770    
John S Dornan, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 425 Hospital Dr, Suite 4, Columbus, MS 39705
Phone: 662-240-0650    Fax: 662-240-0483
Christopher Pennington, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 114 N Lehmberg Rd, Columbus, MS 39702
Phone: 662-329-2955    
Mrs. Janet Myers, AGACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2520 5th St N, Columbus, MS 39705
Phone: 662-244-2042    Fax: 662-244-3287

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.