Fulumirani Mccoy, NP is a medicare enrolled "Family Medicine" physician in Guntown, Mississippi. His current practice location is
571 Mitchell St Ste C, Guntown, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 348-3342.
Fulumirani Mccoy is licensed to practice in Mississippi (license number 904010) 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 1598438483.
Physician's Profile
Full Name | Fulumirani Mccoy |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 571 Mitchell St Ste C, Guntown, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598438483
- Provider Enumeration Date: 07/27/2021
- Last Update Date: 07/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143603340
- Enrollment ID: I20220822001410
Medical Identifiers
Medical identifiers for Fulumirani Mccoy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598438483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 904010 (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. Fulumirani Mccoy allows following entities to bill medicare on his behalf.
Entity Name | Elite Care Family Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194128306 PECOS PAC ID: 7214256601 Enrollment ID: O20150506002292 |
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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. Fulumirani Mccoy 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 Address | Practice Location Address |
Fulumirani Mccoy, NP 1031 County Road 194, Sherman, MS 38828-9102 Ph: (662) 255-6879 | Fulumirani Mccoy, NP 571 Mitchell St Ste C, Guntown, MS 38849-8500 Ph: (662) 348-3342 |
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