Benjamin Ozbun, MD
Individual provider Active NPI Family Medicine Physician · Rolling Fork, MS
NPI 1649834508 · NPPES record last updated Sep 18, 2022
Key facts
- NPI
- 1649834508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 30545 (MS)
- Practice address
- 47 S Fourth St
Rolling Fork, MS 39159-5146 - Phone
- (662) 873-5205
- NPI assigned
- Apr 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Attala Emergency Group LLC
Sharkey Issaquena Community Hospital
Yazoo Emergency Group, LLC
Practice addresses (Care Compare)
220 Hwy 12 W
Kosciusko, MS 39090-3208
Phone (662) 289-4311
25 S 4TH St
Sharkey Issaquena Complete Care
Rolling Fork, MS 39159-5146
Phone (662) 873-5222
823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261
Hospital & facility affiliations
- Adoration Home Health and Hospice Care Mississippi
- Sharkey Issaquena Community Hospital
- Baptist Medical Center Attala
- Delta Health System - the Medical Center
- Merit Health River Region
- Baptist Medical Center-Yazoo
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.53 of 100
- Quality
- 88.1
- Improvement activities
- 40
- Cost
- 85.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.24 of 100
- Quality
- 90.02
- Improvement activities
- 40
- Cost
- 87.21
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 |
|---|---|---|---|---|
| I20220928000723 | MS | Practitioner - Family Practice | 8820326846 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30545 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharkey Issaquena Community Hospital | Current |
Accepting new patients | |
| Sharkey Issaquena Community Hospital | Current |
Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current |
Accepting new patients | |
| Yazoo Emergency Group, LLC | Current |
Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current |
Accepting new patients | |
| Leake Emergency Group, LLC | Current |
Accepting new patients | |
| Attala Emergency Group LLC | Current |
Accepting new patients | |
| Sharkey-Issaquena Community Hospital | Past | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
25 S Fourth St
Rolling Fork, MS 39159
Phone (662) 873-0477
29 S Fourth St
Rolling Fork, MS 39159
Phone (662) 873-4361
47 S Fourth St
Rolling Fork, MS 39159
Phone (662) 873-4395
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sharkey-950b444e
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30545 | MS | Yes |
Addresses
Primary practice location
47 S Fourth St
Rolling Fork, MS 39159-5146
Mailing address
1346 Marathon PT
Glen Allan, MS 38744-9666
Phone (662) 822-9676
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | b.ozbun@sichosp.org |
Other providers in Rolling Fork, MS
- Mississippi Christian Family Services Inc
- Mississippi Christian Family Services Inc.
- Mississippi State Department of Health
- North Mississippi Foot Specialists PC
- On Call Medical Equipment Inc.
- Pain Treatment Centers of America PLLC
- Pain Treatment Centers of America, PLLC
- Allen Brantley Pearson
- Casey Cummins Perry
- RCG of Mayersville, LLC
All providers in Rolling Fork, MS · Family 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 Sep 18, 2022. 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.