Walter M Gorton, M.D.
Individual provider Active NPI Internal Medicine Physician · Belzoni, MS
NPI 1528037116 · NPPES record last updated Aug 17, 2010
Key facts
- NPI
- 1528037116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 05613 (MS)
- Practice address
- 107 Church St
Belzoni, MS 39038-3929 - Phone
- (662) 247-2105
- Fax
- (662) 247-4849
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gorton Lab and X-Ray, LLC
Practice addresses (Care Compare)
107 Church St
Belzoni, MS 39038-3929
Phone (662) 247-2105
Hospital & facility affiliations
- Baptist Medical Center-Yazoo
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080303000649 | MS | Practitioner - Internal Medicine |
0244258309 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gorton Lab and X-Ray, LLC | Current |
Accepting new patients | |
| Gorton Rural Health Clinic | Current |
Accepting new patients | |
| Patients Choice Medical Center of Humphreys County, LLC | Past | Accepting new patients |
Locations
107 Church St
Belzoni, MS 39038
Phone (601) 247-2105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 05613 | MS | Yes |
Addresses
Primary practice location
107 Church St
Belzoni, MS 39038-3929
Mailing address
PO Box 633
Belzoni, MS 39038-0633
Phone (662) 247-2105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14079 | Medicaid | MS |
Other providers in Belzoni, MS
- G a Carmichael Family Health Center Inc
- G a Carmichael Family Health Center Inc
- Gorton Lab and X-Ray, LLC
- Gorton Rural Health Clinic
- Sidney Carlton Gorton
- Payton Goss
- Grace Medical Lab LLC
- Hall Adult Senior Daycare LLC
- Tawana Hawkins
- Lakenya Mims Horton
All providers in Belzoni, MS · Internal Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.