Mrs Tabitha Snowdy, FNP - Medicare Nurse Practitioner in Jackson, MS

Mrs Tabitha Snowdy, FNP is a medicare enrolled "Nurse Practitioner" physician in Jackson, Mississippi. Her current practice location is 971 Lakeland Dr Ste 954, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-4714.

Mrs Tabitha Snowdy is licensed to practice in Mississippi (license number 858634) 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 1477580819.

Contact Information

Mrs Tabitha Snowdy, FNP
971 Lakeland Dr Ste 954,
Jackson, MS 39216-4609
(601) 200-4714
Not Available



Physician's Profile

Full NameMrs Tabitha Snowdy
GenderFemale
SpecialityNurse Practitioner
Location971 Lakeland Dr Ste 954, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477580819
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729043005
  • Enrollment ID: I20041129000441

Medical Identifiers

Medical identifiers for Mrs Tabitha Snowdy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477580819NPI-NPPES
00125175MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease R858634 (Mississippi)Secondary
363L00000XNurse Practitioner 858634 (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. Mrs Tabitha Snowdy allows following entities to bill medicare on her behalf.
Entity NameSt. Dominic Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821

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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. Mrs Tabitha Snowdy 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
Mrs Tabitha Snowdy, FNP
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (601) 200-4970
Mrs Tabitha Snowdy, FNP
971 Lakeland Dr Ste 954,
Jackson, MS 39216-4609

Ph: (601) 200-4714

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