NPIMap

Premier Medical Group of Mississippi LLC

A Medicare group practice based in Kosciusko, MS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8729973623), with 41 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729973623The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
2
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040219000254 MS Part B Supplier - Clinic/Group Practice 1790827038
O20100930078936 MS DME Supplier - Multi-Specialty - Physician 1790827038

NPIs in this group 2

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 41

Clinicians who reassign their Medicare benefits to this group (41) or whom Care Compare lists as members (31).

Sources for this page