Kimberly Philyaw, NP-C in Poplarville, MS - Medicare Nurse Practitioner

Kimberly Philyaw, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Poplarville, Mississippi. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Mississippi Pllc and her current practice location is 290 Et Poole Rd, Poplarville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 337-0775.

Kimberly Philyaw is licensed to practice in Mississippi (license number 870393) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356938831.

Contact Information

	Kimberly Philyaw, NP-C
	290 Et Poole Rd, Poplarville, MS 39470-4007
	(601) 337-0775
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Philyaw
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	290 Et Poole Rd, Poplarville, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Philyaw graduated from nursing school in 2020

NPI Data:

NPI Number: 1356938831
Provider Enumeration Date: 12/30/2020
Last Update Date: 01/11/2021

Medicare PECOS Information:

PECOS PAC ID: 2961818125
Enrollment ID: I20210312001257

Medical Identifiers

Medical identifiers for Kimberly Philyaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356938831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	870393 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Mississippi Pllc	3678832029	142

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. Kimberly Philyaw allows following entities to bill medicare on her behalf.

Entity Name	Keystone Medical Services Of Ms Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447

Entity Name	Keystone Hospitalist Services Of Ms Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Kimberly Philyaw 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
Kimberly Philyaw, NP-C 290 Et Poole Rd, Poplarville, MS 39470-4007 Ph: (601) 337-0775	Kimberly Philyaw, NP-C 290 Et Poole Rd, Poplarville, MS 39470-4007 Ph: (601) 337-0775

Reviews and Comments

Nurse Practitioner Nurses in Poplarville, MS

Mr. Martin Wayne Carr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Joe Reyer Rd, Poplarville, MS 39470 Phone: 601-215-6374
Joseph Anderson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 E Starkey St, Poplarville, MS 39470 Phone: 601-795-5151
Sheila Diane Bullock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Moody St, Poplarville, MS 39470 Phone: 601-795-4543
Grace P Ford, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Highway 11 S, Poplarville, MS 39470 Phone: 601-403-8283 Fax: 601-403-8283
Mary Edith Denius, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6230 Highway 53, Poplarville, MS 39470 Phone: 601-408-0916
Mrs. Christina L Meador, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1407 S Main St, Poplarville, MS 39470 Phone: 601-795-0659 Fax: 601-795-8639

Kimberly Philyaw, NP-C - Medicare Nurse Practitioner in Poplarville, MS