Walthall General Hospital

A Medicare group practice based in Tylertown, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3678766094), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678766094The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
4
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20101018001311 MS Part A Provider - Critical Access Hospital 1023326485
O20110301001117 MS Part A Provider - Critical Access Hospital 1255649604
O20111103000238 MS Part B Supplier - Clinic/Group Practice 1245512417
O20120924000526 MS Part A Provider - Rural Health Clinic 1255649604

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

Clinicians 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (7).

Sources for this page