Clifton Dewayne Reed, in Shaw, MS - Medicare Nurse Practitioner

Clifton Dewayne Reed, is a medicare enrolled "Nurse Practitioner - Family" in Shaw, Mississippi. His current practice location is 112 W Peeler Ave, Shaw, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 754-3304.

Clifton Dewayne Reed is licensed to practice in Mississippi (license number R877471) 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 1912480328.

Contact Information

	Clifton Dewayne Reed,
	112 W Peeler Ave, Shaw, MS 38773-8710
	(662) 754-3304
	(662) 754-3301

Map and Direction

Provider's Profile

Full Name	Clifton Dewayne Reed
Gender	Male
Speciality	Nurse Practitioner - Family
Location	112 W Peeler Ave, Shaw, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912480328
Provider Enumeration Date: 09/11/2018
Last Update Date: 09/11/2018

Medicare PECOS Information:

PECOS PAC ID: 6406191865
Enrollment ID: I20181213001255

Medical Identifiers

Medical identifiers for Clifton Dewayne Reed such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912480328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R877471 (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. Clifton Dewayne Reed allows following entities to bill medicare on his behalf.

Entity Name	North Sunflower Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318

Entity Name	Shaw Family Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750642633 PECOS PAC ID: 3072769843 Enrollment ID: O20120809000742

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. Clifton Dewayne Reed 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
Clifton Dewayne Reed, 112 W Peeler Ave, Shaw, MS 38773-8710 Ph: (662) 754-3304	Clifton Dewayne Reed, 112 W Peeler Ave, Shaw, MS 38773-8710 Ph: (662) 754-3304

Reviews and Comments

Nurse Practitioner Nurses in Shaw, MS

Teresa Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301
Mrs. Willie Mary Bolden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-745-6638
Tiffany Sherell Newell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301
Mrs. Sereka V Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304
Mrs. Regina Jonelle Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304
Nora Cecelia Gough-davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304
Dametra Mangum, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301

Clifton Dewayne Reed, - Medicare Nurse Practitioner in Shaw, MS