NPIMap

Region IV Mental Health Services

A Medicare group practice based in Corinth, MS: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4688733991), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4688733991The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
MS
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
12In 6 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20081031000223 MS Part B Supplier - Clinic/Group Practice 1699869537
O20130523000378 MS Part B Supplier - Pharmacy 1689915423

NPIs in this group 4

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (7).

Sources for this page