Statcare PLLC
A Medicare group practice based in McComb, MS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5799764965), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5799764965
- Provider type
- DME Supplier - Physician - Emergency Medicine, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MS
- Enrollments
- 2
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040720000687 | MS | Part B Supplier - Clinic/Group Practice | 1174579338 |
| O20100930078336 | MS | DME Supplier - Physician - Emergency Medicine | 1174579338 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Statcare PLLC
- Clinic/Center
- McComb, MS
- NPI 1174579338
Practice locations
- McComb, MS3
- Summit, MS1
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).
-
Christopher Harvey Bracey, FNP
- Family Medicine Physician
- McComb, MS
- NPI 1578084521
-
Jackie Eugene Brister, F.N.P.
- Family Nurse Practitioner
- McComb, MS
- NPI 1568473270
-
Brett Ferman, MD
- Emergency Medicine Physician
- McComb, MS
- NPI 1578639449
-
John Harvey, FNP-C
- Family Nurse Practitioner
- McComb, MS
- NPI 1982012548
-
Melanie Dawne Robertson, FNP-C
- Family Nurse Practitioner
- Liberty, MS
- NPI 1427567791
-
Scott Farr Smith, M.D.
- Emergency Medicine Physician
- McComb, MS
- NPI 1629057427
-
Darryl Temple, FNP
- Emergency Medicine Physician
- McComb, MS
- NPI 1730168618
-
Brett Bienville Tisdale, M.D.
- Emergency Medicine Physician
- McComb, MS
- NPI 1699754572
-
Jodi Waller, FNP-C
- Family Nurse Practitioner
- McComb, MS
- NPI 1811303670
-
John Andrew Watson, D.O.
- Emergency Medicine Physician
- McComb, MS
- NPI 1851370795
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.