Mary K Fouquier, PHD, RN, CNM - Medicare Advanced Practice Midwife in Jackson, MS

Mary K Fouquier, PHD, RN, CNM is a medicare enrolled "Advanced Practice Midwife" in Jackson, Mississippi. Her current practice location is 1207 N West St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 354-6654.

Mary K Fouquier is licensed to practice in Tennessee (license number 25784) 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 1396017646.

Contact Information

Mary K Fouquier, PHD, RN, CNM
1207 N West St,
Jackson, MS 39202-2018
(601) 354-6654
(601) 354-6289



Provider's Profile

Full NameMary K Fouquier
GenderFemale
SpecialityAdvanced Practice Midwife
Location1207 N West 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: 1396017646
  • Provider Enumeration Date: 02/02/2012
  • Last Update Date: 05/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204096381
  • Enrollment ID: I20191029000773

Medical Identifiers

Medical identifiers for Mary K Fouquier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396017646NPI-NPPES
03285886MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 25784 (Tennessee)Primary
363LX0001XNurse Practitioner - Obstetrics & Gynecology R887487 (Mississippi)Secondary

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. Mary K Fouquier allows following entities to bill medicare on her behalf.
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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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. Mary K Fouquier 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
Mary K Fouquier, PHD, RN, CNM
1207 N West St,
Jackson, MS 39202-2018

Ph: (601) 354-6654
Mary K Fouquier, PHD, RN, CNM
1207 N West St,
Jackson, MS 39202-2018

Ph: (601) 354-6654

News Archive

Scientists propose potential new treatment for Gaucher disease

Scientists propose in Nature blocking a molecule that drives inflammation and organ damage in Gaucher and maybe other lysosomal storage diseases as a possible treatment with fewer risks and lower costs than current therapies.

Virginia Hospital Center selects CredenceHealth to provide best quality of care for patients

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Advanced Practice Midwife Nurses in Jackson, MS

Miss Gwen Bussa, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213
Phone: 601-709-5160    
Dr. Laura Rennie Dickerson, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213
Phone: 601-540-0968    
Ms. Meggan Everett, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 405 Briarwood Dr Ste 303, Jackson, MS 39206
Phone: 769-233-8163    
Dr. Janice Taleff Scaggs, CNM, DNP
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2500 N State St # L216, Jackson, MS 39216
Phone: 601-984-5300    
Ms. Avis Elaine Haynes, PHD RN CNM FPNP
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2500 North State Street, Winfred Wiser Womens Hospital, Jackson, MS 39216
Phone: 601-815-7300    Fax: 601-815-7355
Miss Clarice Carroll, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5373    Fax: 601-984-5476

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