Wanda Brown, WHNP in Olive Branch, MS - Medicare Nurse Practitioner

Wanda Brown, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Olive Branch, Mississippi. Her current practice location is 4240 Bethel Rd Ste 101, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 932-9544.

Wanda Brown is licensed to practice in Mississippi (license number 901414) 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 1083071237.

Contact Information

	Wanda Brown, WHNP
	4240 Bethel Rd Ste 101, Olive Branch, MS 38654-8737
	(662) 932-9544
	(662) 932-9554

Map and Direction

Provider's Profile

Full Name	Wanda Brown
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	4240 Bethel Rd Ste 101, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083071237
Provider Enumeration Date: 01/19/2016
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0648575290
Enrollment ID: I20160219001509

Medical Identifiers

Medical identifiers for Wanda Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083071237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	901414 (Mississippi)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	901414 (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. Wanda Brown allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110920000312

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. Wanda Brown 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
Wanda Brown, WHNP 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: () -	Wanda Brown, WHNP 4240 Bethel Rd Ste 101, Olive Branch, MS 38654-8737 Ph: (662) 932-9544

Reviews and Comments

Nurse Practitioner Nurses in Olive Branch, MS

Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806
Jennifer C Sanders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197
Mrs. Misty Moore Ivy, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7203 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-2322
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776
Queen Mcghee, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111

Wanda Brown, WHNP - Medicare Nurse Practitioner in Olive Branch, MS