NPIMap

PSP Medical Clinic LLC

A Medicare group practice based in Canton, MS: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6406859446), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406859446The 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
MS
Enrollments
3
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20061113000513 MS Part A Provider - Rural Health Clinic 1932144243
O20060814000125 MS Part B Supplier - Clinic/Group Practice 1932144243
O20110909002842 MS Part A Provider - Rural Health Clinic 1225320708

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

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Clinicians 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (11).

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