Mrs Addie Parks Herrod, CFNP in Canton, MS - Medicare Nurse Practitioner

Mrs Addie Parks Herrod, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Canton, Mississippi. Her current practice location is 1668 W Peace St, Canton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 859-5213.

Mrs Addie Parks Herrod is licensed to practice in Mississippi (license number R715247) 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 1689769796.

Contact Information

	Mrs Addie Parks Herrod, CFNP
	1668 W Peace St, Canton, MS 39046-5332
	(601) 859-5213
	(601) 859-8777

Map and Direction

Provider's Profile

Full Name	Mrs Addie Parks Herrod
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1668 W Peace St, Canton, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689769796
Provider Enumeration Date: 10/04/2006
Last Update Date: 05/25/2016

Medicare PECOS Information:

PECOS PAC ID: 1254353618
Enrollment ID: I20051228000667

Medical Identifiers

Medical identifiers for Mrs Addie Parks Herrod such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689769796	NPI	-	NPPES
08184344	Medicaid	MS
05179077	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R715247 (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. Mrs Addie Parks Herrod allows following entities to bill medicare on her behalf.

Entity Name	North Sunflower Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318

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. Mrs Addie Parks Herrod 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
Mrs Addie Parks Herrod, CFNP Po Box 588, Canton, MS 39046-0588 Ph: (601) 859-5213	Mrs Addie Parks Herrod, CFNP 1668 W Peace St, Canton, MS 39046-5332 Ph: (601) 859-5213

Reviews and Comments

Nurse Practitioner Nurses in Canton, MS

Kristy L Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771
Tamecia Herbert, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213
Latoya Sojourney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966
Okshoon Scott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966
Mrs. Donna S. Foster, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 259 W Peace St, Canton, MS 39046 Phone: 601-691-5175 Fax: 601-691-5952
Natwassie Truly, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1883 Highway 43 S Ste E, Canton, MS 39046 Phone: 769-231-7499
Mrs. Rebecca Truelove Moore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 156 River Oaks Dr, Suite A, Canton, MS 39046 Phone: 601-855-5287

Mrs Addie Parks Herrod, CFNP - Medicare Nurse Practitioner in Canton, MS