Phyllis R Bishop, MD in Jackson, MS

Phyllis R Bishop, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5232.

Phyllis R Bishop is licensed to practice in Mississippi (license number 12091) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174567465.

Contact Information

	Phyllis R Bishop, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-5232
	Not Available

Map and Direction

Physician's Profile

Full Name	Phyllis R Bishop
Gender	Female
Speciality	Pediatrics - Pediatric Gastroenterology
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174567465
Provider Enumeration Date: 06/16/2006
Last Update Date: 06/14/2012

Medicare PECOS Information:

PECOS PAC ID: 4789757857
Enrollment ID: I20080723000060

Medical Identifiers

Medical identifiers for Phyllis R Bishop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174567465	NPI	-	NPPES
1541168	Medicaid	LA
00119588	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	12091 (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. Phyllis R Bishop allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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 R Bishop 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
Phyllis R Bishop, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5232	Phyllis R Bishop, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5232

Reviews and Comments

Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151
Sitesh Ranen Roy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5249
Dr. Kathryn R Farrell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 River Bend Pl, Suite C, Jackson, MS 39232 Phone: 601-957-7345 Fax: 769-251-5429

Phyllis R Bishop, MD - Medicare Pediatrics in Jackson, MS