Dr Greene Berry Colvin Iv, MD - Medicare Otolaryngology in Olive Branch, MS

Dr Greene Berry Colvin Iv, MD is a medicare enrolled "Otolaryngology" physician in Olive Branch, Mississippi. He went to University Of Arkansas College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Desoto Ear, Nose Andthroat and his current practice location is 7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 895-6455.

Dr Greene Berry Colvin Iv is licensed to practice in Mississippi (license number 15739) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619988243.

Contact Information

Dr Greene Berry Colvin Iv, MD
7164 Hacks Cross Rd Ste 106,
Olive Branch, MS 38654-3919
(662) 895-6455
(662) 895-6460



Physician's Profile

Full NameDr Greene Berry Colvin Iv
GenderMale
SpecialityOtolaryngology
Experience32 Years
Location7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Greene Berry Colvin Iv attended and graduated from University Of Arkansas College Of Medicine in 1992
  NPI Data:
  • NPI Number: 1619988243
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 02/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911912449
  • Enrollment ID: I20111208000019

Medical Identifiers

Medical identifiers for Dr Greene Berry Colvin Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619988243NPI-NPPES
0119469MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MD0000030098 (Tennessee)Secondary
207Y00000XOtolaryngology 15739 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial Hospital DesotoSouthaven, MSHospital
Methodist Healthcare - Olive Branch HospitalOlive branch, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Desoto Ear, Nose Andthroat33755588022

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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. Dr Greene Berry Colvin Iv allows following entities to bill medicare on his behalf.
Entity NameDesoto Ear, Nose &throat
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477644045
PECOS PAC ID: 3375558802
Enrollment ID: O20060220000417

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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. Dr Greene Berry Colvin Iv 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
Dr Greene Berry Colvin Iv, MD
7164 Hacks Cross Rd Ste 106,
Olive Branch, MS 38654-3919

Ph: (662) 895-6455
Dr Greene Berry Colvin Iv, MD
7164 Hacks Cross Rd Ste 106,
Olive Branch, MS 38654-3919

Ph: (662) 895-6455

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Otolaryngology Doctors in Olive Branch, MS


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