Clifton Dewayne Reed, - Medicare Nurse Practitioner in Shaw, MS

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Clifton Dewayne Reed, is a medicare enrolled "Nurse Practitioner - Family" in Shaw, Mississippi. His current practice location is 112 W Peeler Ave, Shaw, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 754-3304.

Clifton Dewayne Reed is licensed to practice in Mississippi (license number R877471) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912480328.

Contact Information

Clifton Dewayne Reed,
112 W Peeler Ave,
Shaw, MS 38773-8710
(662) 754-3304
(662) 754-3301

Map and Direction




Provider's Profile

Full NameClifton Dewayne Reed
GenderMale
SpecialityNurse Practitioner - Family
Location112 W Peeler Ave, Shaw, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912480328
  • Provider Enumeration Date: 09/11/2018
  • Last Update Date: 09/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6406191865
  • Enrollment ID: I20181213001255

Medical Identifiers

Medical identifiers for Clifton Dewayne Reed such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912480328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R877471 (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. Clifton Dewayne Reed allows following entities to bill medicare on his 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 NameShaw Family Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750642633
PECOS PAC ID: 3072769843
Enrollment ID: O20120809000742

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. Clifton Dewayne Reed 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
Clifton Dewayne Reed,
112 W Peeler Ave,
Shaw, MS 38773-8710

Ph: (662) 754-3304		Clifton Dewayne Reed,
112 W Peeler Ave,
Shaw, MS 38773-8710

Ph: (662) 754-3304

Reviews and Comments


Nurse Practitioner Nurses in Shaw, MS

Teresa Wilson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    
Mrs. Willie Mary Bolden,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-745-6638    
Tiffany Sherell Newell, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    
Mrs. Sereka V Walker, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    Fax: 662-754-3304
Mrs. Regina Jonelle Evans, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    Fax: 662-754-3304
Nora Cecelia Gough-davis, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    Fax: 662-754-3304

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.