Miranda R McCaskill, AUD
Individual provider Active NPI Audiologist · Vicksburg, MS
NPI 1821431990 · NPPES record last updated Apr 9, 2013
Key facts
- NPI
- 1821431990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A2944 (MS)
- Practice address
- 104 McAuley Dr
Vicksburg, MS 39183-2825 - Phone
- (601) 883-3320
- Fax
- (601) 883-3326
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vicksburg Clinic LLC
Practice addresses (Care Compare)
2200 Hwy 61 N
Vicksburg, MS 39183-8246
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130522000295 | MS | Practitioner - Qualified Audiologist | 4284872763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2944 | MS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Clinic LLC | Current |
Accepting new patients | |
| Vicksburg Clinic LLC | Past | Accepting new patients |
Locations
54 Sgt Prentiss Dr
Ste 103
Natchez, MS 39120
Phone (601) 883-5858
104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271
Interoperability endpoints
- miranda.mccaskill.1@1475.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A2944 | MS | Yes |
Addresses
Primary practice location
104 McAuley Dr
Vicksburg, MS 39183-2825
Mailing address
104 McAuley Dr
Vicksburg, MS 39183-2825
Phone (601) 883-3320
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2013. 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.
- 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.