Dr Vivian Elizabeth 'lisa' Huddleston, MD - Medicare Pediatrics in Greenwood, MS

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Dr Vivian Elizabeth 'lisa' Huddleston, MD is a medicare enrolled "Pediatrics" physician in Greenwood, Mississippi. Her current practice location is 1405 Strong Ave, Greenwood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 459-7030.

Dr Vivian Elizabeth 'lisa' Huddleston is licensed to practice in Mississippi (license number 18482) 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 1093784209.

Contact Information

Dr Vivian Elizabeth 'lisa' Huddleston, MD
1405 Strong Ave,
Greenwood, MS 38930-4035
(662) 459-7030
Not Available

Map and Direction




Physician's Profile

Full NameDr Vivian Elizabeth 'lisa' Huddleston
GenderFemale
SpecialityPediatrics
Location1405 Strong Ave, Greenwood, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093784209
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 08/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517152549
  • Enrollment ID: I20101116000384

Medical Identifiers

Medical identifiers for Dr Vivian Elizabeth 'lisa' Huddleston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093784209NPI-NPPES
06771370MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 18482 (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. Dr Vivian Elizabeth 'lisa' Huddleston allows following entities to bill medicare on her behalf.
Entity NameNorth Sunflower Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891705133
PECOS PAC ID: 7618932294
Enrollment ID: O20041123000318
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameGreenwood Leflore Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669441994
PECOS PAC ID: 8224221619
Enrollment ID: O20101018001016

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 Vivian Elizabeth 'lisa' Huddleston 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 AddressPractice Location Address
Dr Vivian Elizabeth 'lisa' Huddleston, MD
Po Box 1410, Attn: Clinic Administration,
Greenwood, MS 38935-1410

Ph: (662) 459-7285		Dr Vivian Elizabeth 'lisa' Huddleston, MD
1405 Strong Ave,
Greenwood, MS 38930-4035

Ph: (662) 459-7030

Reviews and Comments


Pediatrics Doctors in Greenwood, MS

Dr. Claudine Stevens, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1405 Strong Ave, Greenwood, MS 38930
Phone: 662-459-7030    
Mrs. Karlee Kelly, FNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1405 Strong Ave, Greenwood, MS 38930
Phone: 662-459-7030    Fax: 662-459-1104
Dr. Billy Boldon, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1405 Strong Ave, Greenwood, MS 38930
Phone: 662-459-7030    Fax: 662-459-1104

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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