Dr Greene Berry Colvin Iv, MD is a medicare enrolled "Otolaryngology" physician in Olive Branch, Mississippi. His current practice location is
7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 895-6455.
Dr Greene Berry Colvin Iv is licensed to practice in Mississippi (license number 15739) 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 1619988243.
Physician's Profile
Full Name | Dr Greene Berry Colvin Iv |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi |
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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:
- Dr Greene Berry Colvin Iv attended and graduated from in
NPI Data:
- NPI Number: 1619988243
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 02/08/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Greene Berry Colvin Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619988243 | NPI | - | NPPES |
0119469 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | MD0000030098 (Tennessee) | Secondary |
207Y00000X | Otolaryngology | 15739 (Mississippi) | Primary |
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. Dr Greene Berry Colvin Iv 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 |
Dr Greene Berry Colvin Iv, MD 7164 Hacks Cross Rd Ste 106, Olive Branch, MS 38654-3919 Ph: (662) 895-6455 | Dr Greene Berry Colvin Iv, MD 7164 Hacks Cross Rd Ste 106, Olive Branch, MS 38654-3919 Ph: (662) 895-6455 |
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