Anna Crow Gordon, in Southaven, MS - Medicare Nurse Practitioner

Anna Crow Gordon, is a medicare enrolled "Nurse Practitioner" in Southaven, Mississippi. Her current practice location is 60 Physicians Ln, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (769) 243-6141.

Anna Crow Gordon is licensed to practice in Mississippi (license number 904651) 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 1124765656.

Contact Information

	Anna Crow Gordon,
	60 Physicians Ln, Southaven, MS 38671-6122
	(769) 243-6141
	(601) 510-1665

Map and Direction

Provider's Profile

Full Name	Anna Crow Gordon
Gender	Female
Speciality	Nurse Practitioner
Location	60 Physicians Ln, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124765656
Provider Enumeration Date: 05/16/2022
Last Update Date: 09/28/2025

Medicare PECOS Information:

PECOS PAC ID: 9436534948
Enrollment ID: I20220920002580

Medical Identifiers

Medical identifiers for Anna Crow Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124765656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	904651 (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. Anna Crow Gordon allows following entities to bill medicare on her behalf.

Entity Name	Healthcare Plus Limited Liability Company
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063927465 PECOS PAC ID: 5698038610 Enrollment ID: O20180404001439

Entity Name	Wound Management Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20191021000339

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. Anna Crow Gordon 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
Anna Crow Gordon, 778 Liberty Rd, Flowood, MS 39232-9300 Ph: (769) 243-6141	Anna Crow Gordon, 60 Physicians Ln, Southaven, MS 38671-6122 Ph: (769) 243-6141

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-503-7416 Fax: 662-349-9082
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Anna Crow Gordon, - Medicare Nurse Practitioner in Southaven, MS