NPIMap

Vicksburg Healthcare LLC

A Medicare group practice based in Vicksburg, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4688575129), with 65 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4688575129The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
3
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 5 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040213000299 MS Part B Supplier - Clinic/Group Practice 1629084058
O20061108000593 MS Part A Provider - Hospital 1215981303
O20061108000688 MS Part A Provider - Hospital 1740228881

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 65

Clinicians who reassign their Medicare benefits to this group (65) or whom Care Compare lists as members (10).

Sources for this page