Phyllis Fiveash, CFNP - Medicare Nurse Practitioner in Corinth, MS

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Phyllis Fiveash, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Corinth, Mississippi. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The West Clinic, Pllc, Magnolia Express Care, The West Clinic, Pllc and her current practice location is 2001 State Dr, Corinth, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 286-3694.

Phyllis Fiveash is licensed to practice in Mississippi (license number R871915) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689996282.

Contact Information

Phyllis Fiveash, CFNP
2001 State Dr,
Corinth, MS 38834-9324
(662) 286-3694
(901) 685-9718

Map and Direction




Provider's Profile

Full NamePhyllis Fiveash
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location2001 State Dr, Corinth, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Phyllis Fiveash graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1689996282
  • Provider Enumeration Date: 02/23/2010
  • Last Update Date: 05/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9830223825
  • Enrollment ID: I20100812000539

Medical Identifiers

Medical identifiers for Phyllis Fiveash such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689996282NPI-NPPES
05170544MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R871915 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Magnolia Regional Health CenterCorinth, MSHospital
Tishomingo Health Services IncIuka, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The West Clinic, Pllc2668360579107
Magnolia Express Care468895159318
The West Clinic, Pllc2668360579107

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. Phyllis Fiveash allows following entities to bill medicare on her behalf.
Entity NameThe West Clinic, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447276605
PECOS PAC ID: 2668360579
Enrollment ID: O20040310000740
Entity NameMagnolia Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699756445
PECOS PAC ID: 9739078460
Enrollment ID: O20040311001091
Entity NameMagnolia Hospitalist Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457547838
PECOS PAC ID: 4688752371
Enrollment ID: O20080422000173
Entity NameMagnolia Regional Community Care Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639338577
PECOS PAC ID: 1254408594
Enrollment ID: O20080929000146
Entity NameMagnolia Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073827549
PECOS PAC ID: 5193912889
Enrollment ID: O20101207000799
Entity NameMagnolia Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649721457
PECOS PAC ID: 4688951593
Enrollment ID: O20170502002226

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. Phyllis Fiveash 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
Phyllis Fiveash, CFNP
401 Alcorn Dr, Ste 2c,
Corinth, MS 38834-9073

Ph: (901) 683-0055		Phyllis Fiveash, CFNP
2001 State Dr,
Corinth, MS 38834-9324

Ph: (662) 286-3694

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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