Corliss Y Phillips, LPN is a
Adult Companion based in Fort Pierce, Florida. Corliss Y Phillips is licensed to practice in Florida (license number 234020) and her current practice location is
1903 Plover Ave Apt A, Fort Pierce, Florida. She can be reached at her office (for appointments etc.) via phone at
(772) 940-3736.
NPI number for Corliss Y Phillips is 1114597259 and her current mailing address is 1903 Plover Ave Apt A, Fort Pierce, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114597259.
Provider's Profile
Full Name | Corliss Y Phillips |
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Gender | Female |
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Speciality | Adult Companion |
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Location | 1903 Plover Ave Apt A, Fort Pierce, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114597259
- Provider Enumeration Date: 06/30/2021
- Last Update Date: 06/30/2021
Medical Identifiers
Medical identifiers for Corliss Y Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114597259 | NPI | - | NPPES |
0622 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 5195534 (Florida) | Secondary |
376J00000X | Homemaker | 234020 (Florida) | Secondary |
372600000X | Adult Companion | 234020 (Florida) | 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. Corliss Y Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Corliss Y Phillips, LPN 1903 Plover Ave Apt A, Fort Pierce, FL 34949-3446 Ph: (772) 940-3736 | Corliss Y Phillips, LPN 1903 Plover Ave Apt A, Fort Pierce, FL 34949-3446 Ph: (772) 940-3736 |
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