Portia F Travis, NP - Medicare Nurse Practitioner in Clinton, MS

Portia F Travis, NP is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Mississippi. Her current practice location is 206 Longwood Dr, Clinton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 214-2045.

Portia F Travis is licensed to practice in Mississippi (license number R800172) 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 1710161708.

Contact Information

Portia F Travis, NP
206 Longwood Dr,
Clinton, MS 39056-5436
(601) 214-2045
Not Available



Provider's Profile

Full NamePortia F Travis
GenderFemale
SpecialityNurse Practitioner - Family
Location206 Longwood Dr, Clinton, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710161708
  • Provider Enumeration Date: 12/26/2007
  • Last Update Date: 12/26/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9234575473
  • Enrollment ID: I20240311002953

Medical Identifiers

Medical identifiers for Portia F Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710161708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R800172 (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. Portia F Travis allows following entities to bill medicare on her behalf.
Entity NameBrentwood Acquisition Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487638441
PECOS PAC ID: 9133101074
Enrollment ID: O20040819001052

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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. Portia F Travis 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
Portia F Travis, NP
514h E Woodrow Wilson Ave,
Jackson, MS 39216-4538

Ph: (601) 713-3900
Portia F Travis, NP
206 Longwood Dr,
Clinton, MS 39056-5436

Ph: (601) 214-2045

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Nurse Practitioner Nurses in Clinton, MS

Lauren Lanier Guthrie, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 102 Friars Cv, Clinton, MS 39056
Phone: 601-383-5583    
Mrs. Lakeisha Crye Green, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 Highway 80 E, Clinton, MS 39056
Phone: 601-488-9668    
Ms. Barbara Ann Bradley, CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1407 Beverly Dr, Clinton, MS 39056
Phone: 601-575-3392    
Mrs. Amanda Monique Carson-griffin, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 590 Springridge Rd, Clinton, MS 39056
Phone: 601-488-8101    
Alexis Grabow Strahan, MSN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 106 Clinton Pkwy, Clinton, MS 39056
Phone: 601-924-9005    
Elizabeth Clark Allen, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 728 Clinton Pkwy Ste B, Clinton, MS 39056
Phone: 601-200-4800    Fax: 601-200-4805
Jennifer Russum,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 732 Clinton Pkwy, Clinton, MS 39056
Phone: 601-924-7994    

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