Brooke Nicole Degheb, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Hattiesburg, MS

Brooke Nicole Degheb, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. Her current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-3606.

Brooke Nicole Degheb is licensed to practice in Mississippi (license number 901827) 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 1164132221.

Contact Information

Brooke Nicole Degheb, DNP, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 261-3606
(601) 579-5240



Provider's Profile

Full NameBrooke Nicole Degheb
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164132221
  • Provider Enumeration Date: 11/30/2022
  • Last Update Date: 01/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466825245
  • Enrollment ID: I20230224002426

Medical Identifiers

Medical identifiers for Brooke Nicole Degheb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164132221NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 901827 (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. Brooke Nicole Degheb allows following entities to bill medicare on her behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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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. Brooke Nicole Degheb 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
Brooke Nicole Degheb, DNP, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 261-3606
Brooke Nicole Degheb, DNP, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 261-3606

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Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Mr. Corey White,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Daniel Attaway, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    
Brandon Scott Figueiredo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Scott Evans Walker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166

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