Mr Timothy M South, FNP in Kosciusko, MS - Medicare Nurse Practitioner

Mr Timothy M South, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kosciusko, Mississippi. He graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Premier Medical Group Of Mississippi Llc and his current practice location is 332 Highway 12 W, Kosciusko, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 289-1800.

Mr Timothy M South is licensed to practice in Mississippi (license number R701483) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376506741.

Contact Information

	Mr Timothy M South, FNP
	332 Highway 12 W, Kosciusko, MS 39090-3209
	(662) 289-1800
	(662) 289-2486

Map and Direction

Provider's Profile

Full Name	Mr Timothy M South
Gender	Male
Speciality	Nurse Practitioner
Experience	31 Years
Location	332 Highway 12 W, Kosciusko, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Timothy M South graduated from nursing school in 1993

NPI Data:

NPI Number: 1376506741
Provider Enumeration Date: 04/07/2006
Last Update Date: 10/01/2012

Medicare PECOS Information:

PECOS PAC ID: 6103871967
Enrollment ID: I20050315000702

Medical Identifiers

Medical identifiers for Mr Timothy M South such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376506741	NPI	-	NPPES
00114061	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R701483 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Medical Center Attala	Kosciusko, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Medical Group Of Mississippi Llc	8729973623	27

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 Timothy M South allows following entities to bill medicare on his behalf.

Entity Name	Premier Medical Group Of Mississippi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254

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 Timothy M South 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 Timothy M South, FNP 332 Highway 12 W, Kosciusko, MS 39090-3209 Ph: (662) 289-1800	Mr Timothy M South, FNP 332 Highway 12 W, Kosciusko, MS 39090-3209 Ph: (662) 289-1800

Reviews and Comments

Nurse Practitioner Nurses in Kosciusko, MS

Mrs. Mary Katherine Lawrence, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Highway 12 W, Kosciusko, MS 39090 Phone: 662-290-3150 Fax: 662-290-3160
Annette Cross, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4066 Attala Road 1110, Kosciusko, MS 39090 Phone: 166-261-4881
Mrs. Joy W Reynolds, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3099 Attala Road 1213, Kosciusko, MS 39090 Phone: 662-289-8022 Fax: 662-289-8022
Kimberly Michele Myer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1800 Fax: 662-582-3153
Kayla Barnett Ferguson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1900 Fax: 662-289-2486
Mrs. Linda B Cockroft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-9155 Fax: 662-289-2776

Mr Timothy M South, FNP - Medicare Nurse Practitioner in Kosciusko, MS