Dr Greene Berry Colvin Iv, MD - Medicare Otolaryngology in Olive Branch, MS

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Dr Greene Berry Colvin Iv, MD is a medicare enrolled "Otolaryngology" physician in Olive Branch, Mississippi. His current practice location is 7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 895-6455.

Dr Greene Berry Colvin Iv is licensed to practice in Mississippi (license number 15739) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619988243.

Contact Information

Dr Greene Berry Colvin Iv, MD
7164 Hacks Cross Rd Ste 106,
Olive Branch, MS 38654-3919
(662) 895-6455
(662) 895-6460

Map and Direction




Physician's Profile

Full NameDr Greene Berry Colvin Iv
GenderMale
SpecialityOtolaryngology
Location7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619988243
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 02/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911912449
  • Enrollment ID: I20111208000019

Medical Identifiers

Medical identifiers for Dr Greene Berry Colvin Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619988243NPI-NPPES
0119469MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MD0000030098 (Tennessee)Secondary
207Y00000XOtolaryngology 15739 (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. Dr Greene Berry Colvin Iv allows following entities to bill medicare on his behalf.
Entity NameDesoto Ear, Nose &throat
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477644045
PECOS PAC ID: 3375558802
Enrollment ID: O20060220000417

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. Dr Greene Berry Colvin Iv 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
Dr Greene Berry Colvin Iv, MD
7164 Hacks Cross Rd Ste 106,
Olive Branch, MS 38654-3919

Ph: (662) 895-6455		Dr Greene Berry Colvin Iv, MD
7164 Hacks Cross Rd Ste 106,
Olive Branch, MS 38654-3919

Ph: (662) 895-6455

Reviews and Comments


Otolaryngology Doctors in Olive Branch, MS


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.