Mr Mark Waylon Scruggs, FNP-C in Taylorsville, MS

Mr Mark Waylon Scruggs, FNP-C is a medicare enrolled "Nurse Practitioner" in Taylorsville, Mississippi. His current practice location is 336 Eureka Street, Taylorsville, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 785-4322.

Mr Mark Waylon Scruggs is licensed to practice in Mississippi (license number 906998) 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 1851113252.

Contact Information

	Mr Mark Waylon Scruggs, FNP-C
	336 Eureka Street, Taylorsville, MS 39168-0291
	(601) 785-4322
	(866) 404-2914

Map and Direction

Provider's Profile

Full Name	Mr Mark Waylon Scruggs
Gender	Male
Speciality	Nurse Practitioner
Location	336 Eureka Street, Taylorsville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851113252
Provider Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0345770822
Enrollment ID: I20250213000817

Medical Identifiers

Medical identifiers for Mr Mark Waylon Scruggs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851113252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	906998 (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. Mr Mark Waylon Scruggs allows following entities to bill medicare on his behalf.

Entity Name	Off Main Street Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023408614 PECOS PAC ID: 6103146527 Enrollment ID: O20150526001236

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. Mr Mark Waylon Scruggs 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
Mr Mark Waylon Scruggs, FNP-C Po Box 291, Taylorsville, MS 39168-0291 Ph: (601) 785-4322	Mr Mark Waylon Scruggs, FNP-C 336 Eureka Street, Taylorsville, MS 39168-0291 Ph: (601) 785-4322

Reviews and Comments

Nurse Practitioner Nurses in Taylorsville, MS

Ms. Sharon L Scruggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Eureka Street, Taylorsville, MS 39168 Phone: 601-785-4322 Fax: 601-785-6881
Lawanda Nicole Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 531 Ms-23, Taylorsville, MS 39168 Phone: 601-785-9580
Patricia Bullock, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Pine St, Taylorsville, MS 39168 Phone: 601-452-7080 Fax: 601-452-7083
Mrs. Carolyn Ann Schrader, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 Willis Street, Suite 2, Taylorsville, MS 39168 Phone: 601-785-9580 Fax: 601-785-9910

Mr Mark Waylon Scruggs, FNP-C - Medicare Nurse Practitioner in Taylorsville, MS