NPIMap

Vicksburg Clinic LLC

A Medicare group practice based in Vicksburg, MS: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 5890696330), with 42 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5890696330The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
LA, MS
Enrollments
4
Group size
27 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 10 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20090903000392 MS Part A Provider - Rural Health Clinic 1790915395
O20090903000378 MS Part A Provider - Rural Health Clinic 1861622268
O20040116000738 MS Part B Supplier - Clinic/Group Practice 1790711158
O20050322000036 LA Part B Supplier - Clinic/Group Practice 1629279054

NPIs in this group 7

NPPES NPI Registry

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

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
88.07 of 100Reported as apm, on the record of 21 clinicians in this group
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Clinicians 42

Clinicians who reassign their Medicare benefits to this group (42) or whom Care Compare lists as members (27).

Sources for this page