Look up the most recent NPI and PECOS records

Lori H. Bartran

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6414 U S Highway 98, Hattiesburg, MS 39402-7815

PECOS Enrollment

This provider is enrolled in PECOS as LORI BARTRAN.

Based on the most recent information from CMS, provider Lori H. Bartran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1073661419
Provider Type
Individual
Full Name
Bartran, Lori H.
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/8/2007
Last Updated
8/11/2020

Contact Information

Practice Location

6414 U S Highway 98, Hattiesburg, MS 39402-7815

(601) 296-2833

(601) 579-5240

Mailing Location

415 S 28th Ave, Hattiesburg, MS 39401-7246

(601) 261-1560

(601) 579-5240

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R853616 Mississippi
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R853616 Mississippi

Provider Identifiers

ID	Description	Issuer
ID 05901332	Description Medicaid	Issuer Unlisted Mississippi

Lori H. Bartran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Whitson, Ann Nicole

Woolbright, Theresa P

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Pattie, Jennifer Farris

Wallace, Susan R

Smith, Jennifer R

Ezelle, Melissa Ann

Monroe, Teresa S

Dawson, Cynthia

Graham Alexander, Mona Jill