Midsouth Spine And Pain Associates Pllc is a medicare enrolled "Specialist" provider in Corinth, Mississippi. Their current practice location is
3037 Corder Dr, Corinth, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(662) 284-8565.
Midsouth Spine And Pain Associates Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Midsouth Spine And Pain Associates Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1477808657.
Healthcare Provider's Profile
| Full Name | Midsouth Spine And Pain Associates Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Specialist |
|---|
| Location | 3037 Corder Dr, Corinth, Mississippi |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1477808657
- Provider Enumeration Date: 07/13/2012
- Last Update Date: 06/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729236625
- Enrollment ID: O20120919000105
Medical Identifiers
Medical identifiers for Midsouth Spine And Pain Associates Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477808657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 687 (Tennessee) | Secondary |
| 111N00000X | Chiropractor | 1113 (Mississippi) | Secondary |
| 111N00000X | Chiropractor | 2148 (Tennessee) | Secondary |
| 174400000X | Specialist | 29331 (Tennessee) | Secondary |
| 174400000X | Specialist | 14758 (Mississippi) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 8118957 (Tennessee) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Midsouth Spine And Pain Associates Pllc acts as a billing entity for following providers:
| Provider Name | Casey W Bevis |
|---|
| Provider Type | Practitioner - Chiropractic |
|---|
| Provider Identifiers | NPI Number: 1417048851
PECOS PAC ID: 0749384576
Enrollment ID: I20070410000192 |
|---|
| Provider Name | Brent A Grimes |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1578561262
PECOS PAC ID: 8426068131
Enrollment ID: I20120919000167 |
|---|
| Provider Name | Anthony L Armstrong |
|---|
| Provider Type | Practitioner - Pain Management |
|---|
| Provider Identifiers | NPI Number: 1932180635
PECOS PAC ID: 3274527536
Enrollment ID: I20121008000386 |
|---|
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. Midsouth Spine And Pain Associates Pllc 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 |
|---|
Midsouth Spine And Pain Associates Pllc
Po Box 1740,
Corinth, MS 38835-1740
Ph: (662) 284-8565 | Midsouth Spine And Pain Associates Pllc
3037 Corder Dr,
Corinth, MS 38834-6216
Ph: (662) 284-8565 |
Reviews and Comments