Cody Wayne Cissom, DO in Tupelo, MS - Medicare Internal Medicine

Cody Wayne Cissom, DO is a medicare enrolled "Internal Medicine" physician in Tupelo, Mississippi. His current practice location is 830 S Gloster St, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-3000.

Cody Wayne Cissom is licensed to practice in Mississippi (license number PENDING) 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 1104511153.

Contact Information

	Cody Wayne Cissom, DO
	830 S Gloster St, Tupelo, MS 38801-4996
	(662) 377-3000
	Not Available

Physician's Profile

Full Name	Cody Wayne Cissom
Gender	Male
Speciality	Internal Medicine
Location	830 S Gloster St, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104511153
Provider Enumeration Date: 04/06/2023
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3870956501
Enrollment ID: I20230829002425

Medical Identifiers

Medical identifiers for Cody Wayne Cissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104511153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	PENDING (Mississippi)	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. Cody Wayne Cissom 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
Cody Wayne Cissom, DO 830 S Gloster St, Tupelo, MS 38801-4996 Ph: (662) 377-3000	Cody Wayne Cissom, DO 830 S Gloster St, Tupelo, MS 38801-4996 Ph: (662) 377-3000

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Internal Medicine Doctors in Tupelo, MS

Dr. Marcus Louis Britton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1542 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-4711
John O Phillips, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St, Suite 201, Tupelo, MS 38801 Phone: 662-680-5565 Fax: 662-680-5654
Dr. Michael Ted Boler Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-620-6950
Christy Tucker Oswalt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 S Thomas St, Tupelo, MS 38801 Phone: 662-842-7870 Fax: 662-842-7873
Vernon A Rayford, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930
Stephen T Amann, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St, Tupelo, MS 38801 Phone: 662-680-5565 Fax: 662-680-5654
Douglas L Hill, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste A2, Cardiology Associates Of North Ms, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-620-6920

Cody Wayne Cissom, DO - Medicare Internal Medicine in Tupelo, MS