Mr Mark A Dancy, NP - Medicare Nurse Practitioner in Jackson, MS

Mr Mark A Dancy, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-1000.

Mr Mark A Dancy is licensed to practice in Mississippi (license number DANC-D5HFKH) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144862863.

Contact Information

Mr Mark A Dancy, NP
2500 N State St,
Jackson, MS 39216-4500
(601) 984-1000
Not Available



Physician's Profile

Full NameMr Mark A Dancy
GenderMale
SpecialityNurse Practitioner - Pediatrics
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144862863
  • Provider Enumeration Date: 10/14/2019
  • Last Update Date: 10/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4688001993
  • Enrollment ID: I20200226002461

Medical Identifiers

Medical identifiers for Mr Mark A Dancy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144862863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine DANC-D5HFKH (Mississippi)Secondary
363LP0200XNurse Practitioner - Pediatrics DANC-D5HFKH (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. Mr Mark A Dancy allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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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. Mr Mark A Dancy 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
Mr Mark A Dancy, NP
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-1000
Mr Mark A Dancy, NP
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-1000

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