Raven Shanise Burrell, PA-C in Southaven, MS

Raven Shanise Burrell, PA-C is a medicare enrolled "Physician Assistant" in Southaven, Mississippi. Her current practice location is 401 Southcrest Cir Ste 203, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 227-9580.

Raven Shanise Burrell is licensed to practice in Mississippi (license number PA00656) 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 1528624160.

Contact Information

	Raven Shanise Burrell, PA-C
	401 Southcrest Cir Ste 203, Southaven, MS 38671-6719
	(901) 227-9580
	(901) 227-9527

Map and Direction

Provider's Profile

Full Name	Raven Shanise Burrell
Gender	Female
Speciality
Experience	Years
Location	401 Southcrest Cir Ste 203, Southaven, 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:

Raven Shanise Burrell attended and graduated from in

NPI Data:

NPI Number: 1528624160
Provider Enumeration Date: 05/18/2019
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Raven Shanise Burrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528624160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00656 (Mississippi)	Primary
363A00000X	Physician Assistant	8040 (Arizona)	Secondary

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. Raven Shanise Burrell 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
Raven Shanise Burrell, PA-C 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (877) 348-1281	Raven Shanise Burrell, PA-C 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 Ph: (901) 227-9580

Reviews and Comments

Physician Assistant Nurses in Southaven, MS

Teona Wright, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-349-9116
Mr. Aaron Tate Boyd, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 Southcrest Cir Ste 201, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Jacob Cole Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100
Nikara Kilpatrick, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 9140 Highway 51 N, Southaven, MS 38671 Phone: 662-280-8222
Brooklyn Paige Snell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000
Brandye Nicole Wilson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Goodman Rd W Ste D, Southaven, MS 38671 Phone: 662-932-3560 Fax: 662-534-2330
Donald Wayne Washburn Iii, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000

Raven Shanise Burrell, PA-C - Medicare in Southaven, MS