Janine Gibbs Larry, FNP - Medicare Nurse Practitioner in Vicksburg, MS

Janine Gibbs Larry, FNP is a medicare enrolled "Nurse Practitioner - Family" in Vicksburg, Mississippi. Her current practice location is 139 Watkins Rd, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 738-5308.

Janine Gibbs Larry is licensed to practice in Mississippi (license number 901736) 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 1164971131.

Contact Information

Janine Gibbs Larry, FNP
139 Watkins Rd,
Vicksburg, MS 39180-7291
(601) 738-5308
Not Available



Provider's Profile

Full NameJanine Gibbs Larry
GenderFemale
SpecialityNurse Practitioner - Family
Location139 Watkins Rd, Vicksburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164971131
  • Provider Enumeration Date: 09/30/2016
  • Last Update Date: 09/30/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8325317621
  • Enrollment ID: I20170629001879

Medical Identifiers

Medical identifiers for Janine Gibbs Larry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164971131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 901736 (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. Janine Gibbs Larry allows following entities to bill medicare on her behalf.
Entity NameOpenloop Healthcare Partners Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245820661
PECOS PAC ID: 2668871898
Enrollment ID: O20210920003126

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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. Janine Gibbs Larry 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
Janine Gibbs Larry, FNP
139 Watkins Rd,
Vicksburg, MS 39180-7291

Ph: (601) 738-5308
Janine Gibbs Larry, FNP
139 Watkins Rd,
Vicksburg, MS 39180-7291

Ph: (601) 738-5308

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Nurse Practitioner Nurses in Vicksburg, MS

Mrs. Brittany Sharda Barnes, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 919 Mission 66, Vicksburg, MS 39183
Phone: 601-262-2922    
Mrs. Kimberly Fuller, MSN, ACNP - BS
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Mrs. Latasha Jackson Claiborne, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180
Phone: 601-638-0031    
Nina Tomlinson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Monroe St, Vicksburg, MS 39183
Phone: 601-636-4356    
Linda Cheslek,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Monroe St, Vicksburg, MS 39183
Phone: 601-636-4356    
Kerrie Sanders- Smith,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180
Phone: 601-638-8600    
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP-
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183
Phone: 014-562-2776    Fax: 601-456-2622

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