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

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 Name	Ebony Symone' Mccoy
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1520 Highland Colony Pkwy, Madison, Mississippi
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1942817838	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904386 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Seshadri Raju, M.d., Pa.	3971674896	7

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 Name	Seshadri Raju, M.d., Pa.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174556377 PECOS PAC ID: 3971674896 Enrollment ID: O20080620000344

Entity Name	Choctaw Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235547878 PECOS PAC ID: 2567682206 Enrollment ID: O20141215002502

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