Phillip Matthew Ezell, FNP-BC, AGACNP-BC in Petal, MS

Phillip Matthew Ezell, FNP-BC, AGACNP-BC is a medicare enrolled "Family Medicine - Adult Medicine" physician in Petal, Mississippi. His current practice location is 908 S George Ave, Petal, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 544-7441.

Phillip Matthew Ezell is licensed to practice in Mississippi (license number 905839) 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 1689453524.

Contact Information

	Phillip Matthew Ezell, FNP-BC, AGACNP-BC
	908 S George Ave, Petal, MS 39465-2077
	(601) 544-7441
	Not Available

Map and Direction

Physician's Profile

Full Name	Phillip Matthew Ezell
Gender	Male
Speciality	Family Medicine - Adult Medicine
Location	908 S George Ave, Petal, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689453524
Provider Enumeration Date: 09/28/2023
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 0749639466
Enrollment ID: I20231206003598

Medical Identifiers

Medical identifiers for Phillip Matthew Ezell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689453524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	905839 (Mississippi)	Secondary
207QA0505X	Family Medicine - Adult Medicine	905839 (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. Phillip Matthew Ezell allows following entities to bill medicare on his behalf.

Entity Name	Medical Systems Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740555267 PECOS PAC ID: 5092964643 Enrollment ID: O20131024001113

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. Phillip Matthew Ezell 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
Phillip Matthew Ezell, FNP-BC, AGACNP-BC 120 Broken Arrow Trl, Petal, MS 39465-8952 Ph: (601) 466-8121	Phillip Matthew Ezell, FNP-BC, AGACNP-BC 908 S George Ave, Petal, MS 39465-2077 Ph: (601) 544-7441

Reviews and Comments

Family Medicine Doctors in Petal, MS

Rodney N Lovitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 Fax: 601-584-6457
Mr. William Phillip Fortenberry Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404
Patricia Lurline Campbell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309
Mrs. Angel Michelle Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln Ste 100, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457
John Clayton Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309
Ronald A Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457
Dr. Robert Michael Weaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890

Phillip Matthew Ezell, FNP-BC, AGACNP-BC - Medicare Family Medicine in Petal, MS