Mrs Holly Boyd, CPNP in Long Beach, MS - Medicare Nurse Practitioner

Mrs Holly Boyd, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Long Beach, Mississippi. Her current practice location is 20091 Pineville Rd, Long Beach, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 868-3684.

Mrs Holly Boyd is licensed to practice in Mississippi (license number A810502) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669745659.

Contact Information

	Mrs Holly Boyd, CPNP
	20091 Pineville Rd, Long Beach, MS 39560-3208
	(228) 868-3684
	(228) 868-3795

Map and Direction

Provider's Profile

Full Name	Mrs Holly Boyd
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	20091 Pineville Rd, Long Beach, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669745659
Provider Enumeration Date: 02/22/2012
Last Update Date: 07/10/2014

Medicare PECOS Information:

PECOS PAC ID: 1658526736
Enrollment ID: I20130829000547

Medical Identifiers

Medical identifiers for Mrs Holly Boyd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669745659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R868511 (Mississippi)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	A03700 (Arkansas)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	826055 (Texas)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	A810502 (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. Mrs Holly Boyd allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

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. Mrs Holly Boyd 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
Mrs Holly Boyd, CPNP Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 868-3684	Mrs Holly Boyd, CPNP 20091 Pineville Rd, Long Beach, MS 39560-3208 Ph: (228) 868-3684

Reviews and Comments

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Mrs Holly Boyd, CPNP - Medicare Nurse Practitioner in Long Beach, MS