Ebony Symone' Mccoy, FNP-C - Medicare Nurse Practitioner in Madison, MS

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Ebony Symone' Mccoy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Madison, Mississippi. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Seshadri Raju, M.d., Pa. and her current practice location is 1520 Highland Colony Pkwy, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (769) 289-6100.

Ebony Symone' Mccoy is licensed to practice in Mississippi (license number 904386) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942817838.

Contact Information

Ebony Symone' Mccoy, FNP-C
1520 Highland Colony Pkwy,
Madison, MS 39110-7723
(769) 289-6100
Not Available

Map and Direction




Provider's Profile

Full NameEbony Symone' Mccoy
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1520 Highland Colony Pkwy, Madison, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ebony Symone' Mccoy graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1942817838
  • Provider Enumeration Date: 09/25/2020
  • Last Update Date: 03/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2466851373
  • Enrollment ID: I20210526001496

Medical Identifiers

Medical identifiers for Ebony Symone' Mccoy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942817838NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904386 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mississippi Homecare Of JacksonJackson, MSHome health agency
Sta Home Health Agency Of Jackson, Inc. Dba Accentcare Home Health Of JacksonClinton, MSHome health agency
Fmol Health I St DominicJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Seshadri Raju, M.d., Pa.39716748968

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. Ebony Symone' Mccoy allows following entities to bill medicare on her behalf.
Entity NameSeshadri Raju, M.D., PA.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174556377
PECOS PAC ID: 3971674896
Enrollment ID: O20080620000344
Entity NameChoctaw Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235547878
PECOS PAC ID: 2567682206
Enrollment ID: O20141215002502
Entity NameImpact Physician Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114428612
PECOS PAC ID: 6204199086
Enrollment ID: O20231011000153

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. Ebony Symone' 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 AddressPractice Location Address
Ebony Symone' Mccoy, FNP-C
8613 Ms Highway 12,
Ackerman, MS 39735-8917

Ph: (662) 285-4000		Ebony Symone' Mccoy, FNP-C
1520 Highland Colony Pkwy,
Madison, MS 39110-7723

Ph: (769) 289-6100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.