PHAEDRA MCLIN NP - NPI 1801298278 - Nurse Practitioner in Purvis, MS

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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About Phaedra Mclin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHAEDRA MCLIN NP (NPI 1801298278) is an individual psychiatric/mental health provider in Purvis, Mississippi, licensed in Mississippi (R856419) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801298278

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NamePHAEDRA MCLINCredential: NP

Location Address823 HIGHWAY 589Purvis, MS 39475-4194

Mailing Address823 Highway 589Purvis, MS 39475-4194 · (601) 794-0100

Phone(601) 794-0100

Fax(601) 794-0247

Sole ProprietorYes

Enumeration DateSeptember 17, 2014

Last NPPES UpdateApril 17, 2023

NPPES CertifiedMarch 29, 2022

✔ NPI 1801298278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · R856419

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R856419 (MS)

823 HIGHWAY 589, Purvis, MS 39475

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Other Names 1

Former Name (1)Phaedra Patton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phaedra Mclin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39475 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH MISSISSIPPI STATE HOSPITAL

Pharmacy (Institutional Pharmacy)