Dr Greene Berry Colvin Iv, MD in Olive Branch, MS

Dr Greene Berry Colvin Iv, MD is a medicare enrolled "Otolaryngology" physician in Olive Branch, Mississippi. He went to University Of Arkansas College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Desoto Ear, Nose Andthroat and 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.

Contact Information

	Dr Greene Berry Colvin Iv, MD
	7164 Hacks Cross Rd Ste 106, Olive Branch, MS 38654-3919
	(662) 895-6455
	(662) 895-6460

Map and Direction

Physician's Profile

Full Name	Dr Greene Berry Colvin Iv
Gender	Male
Speciality	Otolaryngology
Experience	32 Years
Location	7164 Hacks Cross Rd Ste 106, Olive Branch, 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:

Dr Greene Berry Colvin Iv attended and graduated from University Of Arkansas College Of Medicine in 1992

NPI Data:

NPI Number: 1619988243
Provider Enumeration Date: 08/10/2006
Last Update Date: 02/08/2022

Medicare PECOS Information:

PECOS PAC ID: 7911912449
Enrollment ID: I20111208000019

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital
Methodist Healthcare - Olive Branch Hospital	Olive branch, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Desoto Ear, Nose Andthroat	3375558802	2

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. Dr Greene Berry Colvin Iv allows following entities to bill medicare on his behalf.

Entity Name	Desoto Ear, Nose &throat
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477644045 PECOS PAC ID: 3375558802 Enrollment ID: O20060220000417

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

Dr Greene Berry Colvin Iv, MD - Medicare Otolaryngology in Olive Branch, MS