Bobby E Proctor, MD in Madison, MS - Medicare Family Medicine

Bobby E Proctor, MD is a medicare enrolled "Family Medicine" physician in Madison, Mississippi. His current practice location is 286 Calhoun Station Parkway, Madison, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 200-4321.

Bobby E Proctor is licensed to practice in Mississippi (license number 20742) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801006960.

Contact Information

	Bobby E Proctor, MD
	286 Calhoun Station Parkway, Madison, MS 39110
	(601) 200-4321
	Not Available

Map and Direction

Physician's Profile

Full Name	Bobby E Proctor
Gender	Male
Speciality	Family Medicine
Location	286 Calhoun Station Parkway, Madison, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801006960
Provider Enumeration Date: 05/23/2007
Last Update Date: 02/27/2019

Medicare PECOS Information:

PECOS PAC ID: 7315018579
Enrollment ID: I20091116000037

Medical Identifiers

Medical identifiers for Bobby E Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801006960	NPI	-	NPPES
09150777	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20742 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bobby E Proctor allows following entities to bill medicare on his behalf.

Entity Name	First Intermed Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669406658 PECOS PAC ID: 5294629895 Enrollment ID: O20040213000105

Entity Name	St. Dominic Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bobby E Proctor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bobby E Proctor, MD Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4749	Bobby E Proctor, MD 286 Calhoun Station Parkway, Madison, MS 39110 Ph: (601) 200-4321

Reviews and Comments

Family Medicine Doctors in Madison, MS

Timothy Chin-yu Chen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Baptist Dr, Suite 104, Madison, MS 39110 Phone: 601-605-2383
Micah R. Walker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 Fountains Blvd Ste 101, Madison, MS 39110 Phone: 769-300-0700 Fax: 769-300-0707
Paul A Veregge, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 138 Fenwick Cir, Madison, MS 39110 Phone: 210-387-0306
Brian Scott Torrey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Highland Way, Suite 103, Madison, MS 39110 Phone: 601-200-4750 Fax: 601-200-4740
Robert May, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 935 Highway 51, Madison, MS 39110 Phone: 601-856-5986 Fax: 601-853-2321
Joe W Terry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 935 Highway 51, Madison, MS 39110 Phone: 601-856-5986 Fax: 601-853-2321
Dr. Reginald D Rigsby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1082 Gluckstadt Rd, Madison, MS 39110 Phone: 601-707-5621 Fax: 601-707-5627

Bobby E Proctor, MD - Medicare Family Medicine in Madison, MS