Jacob Warren Spring, FNP - Medicare Nurse Practitioner in Brookhaven, MS

Jacob Warren Spring, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kings Daughters Medical Center and his current practice location is 414 Hardy Ln, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 320-6886.

Jacob Warren Spring is licensed to practice in Mississippi (license number 904385) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255946018.

Contact Information

Jacob Warren Spring, FNP
414 Hardy Ln,
Brookhaven, MS 39601-4046
(601) 320-6886
Not Available



Provider's Profile

Full NameJacob Warren Spring
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location414 Hardy Ln, Brookhaven, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Warren Spring graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1255946018
  • Provider Enumeration Date: 09/09/2020
  • Last Update Date: 02/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284026386
  • Enrollment ID: I20220124000770

Medical Identifiers

Medical identifiers for Jacob Warren Spring such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255946018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 893703 (Mississippi)Secondary
390200000XStudent In An Organized Health Care Education/training Program 893703 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 904385 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kings Daughters Medical Center307257553942

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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. Jacob Warren Spring allows following entities to bill medicare on his behalf.
Entity NameKings Daughters Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043245368
PECOS PAC ID: 3072575539
Enrollment ID: O20041028000174

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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. Jacob Warren Spring 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
Jacob Warren Spring, FNP
414 Hardy Ln,
Brookhaven, MS 39601-4046

Ph: (601) 320-6886
Jacob Warren Spring, FNP
414 Hardy Ln,
Brookhaven, MS 39601-4046

Ph: (601) 320-6886

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Nurse Practitioner Nurses in Brookhaven, MS

Miss Montoyae C Leavy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 747 Industrial Park Rd Ne, Brookhaven, MS 39601
Phone: 601-833-4111    
Tonya C Hughey, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601
Phone: 601-823-5000    Fax: 601-823-4140
Mrs. Candace Laird Duckworth, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1578 Shanna Ln Nw, Brookhaven, MS 39601
Phone: 601-757-9659    
Sally M Proffitt, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1024 D A Biglane Dr, Brookhaven, MS 39601
Phone: 601-823-8000    
Marty Kyle Ballard Sr., FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 327 N Jackson St, Brookhaven, MS 39601
Phone: 601-833-3800    Fax: 601-833-3847
Jennifer D Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1005 W Congress St, Brookhaven, MS 39601
Phone: 601-833-9388    Fax: 601-833-9495
Miss Brittany Griffin Mullins, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Highway 51 N Ste A, Brookhaven, MS 39601
Phone: 601-833-5333    

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