| Phyllis Fiveash, CFNP | |
|
2001 State Dr, Corinth, MS 38834-9324 | |
| (662) 286-3694 | |
| (901) 685-9718 |
| Full Name | Phyllis Fiveash |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 2001 State Dr, Corinth, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689996282 | NPI | - | NPPES |
| 05170544 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R871915 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magnolia Regional Health Center | Corinth, MS | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The West Clinic, Pllc | 2668360579 | 112 |
| Magnolia Express Care | 4688951593 | 16 |
| The West Clinic, Pllc | 2668360579 | 112 |
| Entity Name | The West Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447276605 PECOS PAC ID: 2668360579 Enrollment ID: O20040310000740 |
| Entity Name | Magnolia Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699756445 PECOS PAC ID: 9739078460 Enrollment ID: O20040311001091 |
| Entity Name | Magnolia Hospitalist Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457547838 PECOS PAC ID: 4688752371 Enrollment ID: O20080422000173 |
| Entity Name | Magnolia Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827549 PECOS PAC ID: 5193912889 Enrollment ID: O20101207000799 |
| Entity Name | Magnolia Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649721457 PECOS PAC ID: 4688951593 Enrollment ID: O20170502002226 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Fiveash, CFNP 401 Alcorn Dr, Ste 2c, Corinth, MS 38834-9073 Ph: (901) 683-0055 | Phyllis Fiveash, CFNP 2001 State Dr, Corinth, MS 38834-9324 Ph: (662) 286-3694 |
Jennifer Lynette South, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 Alcorn Dr Ste 109, Corinth, MS 38834 Phone: 662-660-9300 | |
Sheila Galyean Settlemires, CFNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 South Harper Road, Corinth, MS 38834 Phone: 662-396-4406 | |
Ginger Ashley Shook, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 Tinin Dr, Corinth, MS 38834 Phone: 662-665-9111 Fax: 662-665-9118 | |
Hannah Beckham, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Alcorn Drive, Suite 2b, Corinth, MS 38834 Phone: 662-293-7390 Fax: 662-293-7399 | |
Tabitha Perrigo, APMHMP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Foote St, Corinth, MS 38834 Phone: 662-287-4424 | |
Ishmael Tomas Francisco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 423 N Young St, Corinth, MS 38834 Phone: 662-603-5904 | |
Regina M Young, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Foote St, Corinth, MS 38834 Phone: 662-287-4424 Fax: 662-287-2070 |