Primesource Nursing Services, Inc
A Medicare group practice based in Gulfport, MS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7113966037), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7113966037
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MS
- Enrollments
- 1
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050429000745 | MS | Part B Supplier - Clinic/Group Practice | 1962573170 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Primesource Nursing Services, Inc
- Family Nurse Practitioner
- Gulfport, MS
- NPI 1962573170
-
Primesource Nursing Services, Inc
- Psychiatric/Mental Health Nurse Practitioner
- Gulfport, MS
- NPI 1952884652
Practice locations
- Biloxi, MS2
- Gulfport, MS2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).
-
Jennifer S Brechtel, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Gulfport, MS
- NPI 1649370503
-
Phillip D Compton II, M.D.
- Internal Medicine Physician
- Gulfport, MS
- NPI 1578591186
-
Lucy B Hodges, FPNP
- Psychiatric/Mental Health Nurse Practitioner
- Greenwood, MS
- NPI 1639331994
-
Lauren Renee Jandorf, FNP-C
- Family Nurse Practitioner
- Gulfport, MS
- NPI 1669002333
-
Colleen McMahon
- Psychiatric/Mental Health Nurse Practitioner
- Diamondhead, MS
- NPI 1922559012
-
Kelly Lynn Tinson, NP-C
- Family Nurse Practitioner
- Biloxi, MS
- NPI 1407336423
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.