Sharkey Issaquena Community Hospital

A Medicare group practice based in Rolling Fork, MS: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1759283039), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1759283039The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Emergency Hospital (Reh), Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
4
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040126000869 MS Part B Supplier - Clinic/Group Practice 1013004795
O20240319000608 MS Part A Provider - Rural Emergency Hospital (Reh) 1013004795
O20210408002824 MS Part A Provider - Rural Health Clinic 1902401425
O20160415001085 MS Part A Provider - Skilled Nursing Facility 1922056050

NPIs in this group 5

NPPES NPI Registry

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

Practice locations

Locations on the Medicare enrollment

Clinicians 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (10).

Sources for this page