Clide S Sherrod, MD - Medicare Emergency Medicine in Picayune, MS

Clide S Sherrod, MD is a medicare enrolled "Emergency Medicine" physician in Picayune, Mississippi. His current practice location is 801 Goodyear Blvd, Picayune, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 798-4711.

Clide S Sherrod is licensed to practice in Mississippi (license number 14122) 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 1942212543.

Contact Information

Clide S Sherrod, MD
801 Goodyear Blvd,
Picayune, MS 39466-3221
(601) 798-4711
Not Available



Physician's Profile

Full NameClide S Sherrod
GenderMale
SpecialityEmergency Medicine
Location801 Goodyear Blvd, Picayune, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942212543
  • Provider Enumeration Date: 08/12/2006
  • Last Update Date: 07/06/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8628034220
  • Enrollment ID: I20041206000659

Medical Identifiers

Medical identifiers for Clide S Sherrod such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942212543NPI-NPPES
1411663MedicaidLA
P00806416OtherMSRRMCARE THRU HCCN
159370001MedicaidAR
00114489MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 14122 (Mississippi)Primary
207Q00000XFamily Medicine 14122 (Mississippi)Secondary

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. Clide S Sherrod allows following entities to bill medicare on his behalf.
Entity NameSouth Sunflower County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184679292
PECOS PAC ID: 6709771637
Enrollment ID: O20040218000979

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Entity NameAcs Emergency Services Of Mississippi Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396996997
PECOS PAC ID: 7719049998
Enrollment ID: O20081222000668

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Entity NameCorrect Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987441
PECOS PAC ID: 8628980992
Enrollment ID: O20131122000662

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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. Clide S Sherrod 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
Clide S Sherrod, MD
Po Box 31165,
Tampa, FL 33631-3165

Ph: (877) 485-4474
Clide S Sherrod, MD
801 Goodyear Blvd,
Picayune, MS 39466-3221

Ph: (601) 798-4711

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› Verified 5 days ago


Emergency Medicine Doctors in Picayune, MS

Ujwal Meka, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1839 Cooper Rd Ste 100, Picayune, MS 39466
Phone: 769-242-1700    Fax: 769-242-2148
Dr. Dirk H. Danielson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801goodyear Blvd., Picayune, MS 39466
Phone: 601-452-9690    
Patrizia M. Colbert, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 Goodyear Blvd., Picayune, MS 39466
Phone: 504-554-5455    

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