NPIMap

Ms State Department of Health

A Medicare group practice based in Jackson, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0244129245), with 54 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0244129245The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Pharmacy
Enrolled in
MS
Enrollments
3
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
88In 85 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20080310000407 MS Part B Supplier - Independent Clinical Laboratory 1255479630
O20040315000937 MS Part B Supplier - Clinic/Group Practice 1053489260
O20241212003423 MS Part B Supplier - Pharmacy 1376606582

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (45)
  • Prentiss, MS1
  • Purvis, MS1
  • Yazoo City, MS1
  • Woodville, MS1
  • Winona, MS1
  • Quitman, MS1
  • Raleigh, MS1
  • Ripley, MS1
  • Rolling Fork, MS1
  • Indianola, MS1
  • Senatobia, MS1
  • Wiggins, MS1
  • Southaven, MS1
  • Starkville, MS1
  • Sumner, MS1
  • Tunica, MS1
  • Tupelo, MS1
  • West Point, MS1
  • Waynesboro, MS1
  • Water Valley, MS1
  • Tylertown, MS1
  • Vicksburg, MS1
  • Lucedale, MS1
  • New Albany, MS1
  • Natchez, MS1
  • Monticello, MS1
  • Meridian, MS1
  • Mendenhall, MS1
  • McComb, MS1
  • Marks, MS1
  • Macon, MS1
  • Pearl, MS1
  • Louisville, MS1
  • Liberty, MS1
  • Houston, MS1
  • Lexington, MS1
  • Leakesville, MS1
  • Kosciusko, MS1
  • Iuka, MS1
  • Okolona, MS1
  • New Augusta, MS1
  • Philadelphia, MS1
  • Pascagoula, MS1
  • Oxford, MS1
  • Olive Branch, MS1

Clinicians 54

Clinicians who reassign their Medicare benefits to this group (54) or whom Care Compare lists as members (21).

Sources for this page