Dr Jimmy Ricky Windham Ii, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Tupelo, Mississippi. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice North Mississippi Medical Center Inc and his current practice location is
4381 S Eason Blvd Ste 203, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 377-5199.
Dr Jimmy Ricky Windham Ii is licensed to practice in Mississippi (license number 29895) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699208918.
Physician's Profile
| Full Name | Dr Jimmy Ricky Windham Ii |
|---|
| Gender | Male |
|---|
| Speciality | Pain Management |
|---|
| Experience | 7 Years |
|---|
| Location | 4381 S Eason Blvd Ste 203, Tupelo, Mississippi |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jimmy Ricky Windham Ii graduated from medical school in 2017
NPI Data:
- NPI Number: 1699208918
- Provider Enumeration Date: 04/04/2017
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486931516
- Enrollment ID: I20220607001695
Medical Identifiers
Medical identifiers for Dr Jimmy Ricky Windham Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699208918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 29895 (Mississippi) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 29895 (Mississippi) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 29895 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Mississippi Medical Center Inc | 9931010600 | 285 |
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. Dr Jimmy Ricky Windham Ii allows following entities to bill medicare on his behalf.
| Entity Name | North Mississippi Medical Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541 |
|---|
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. Dr Jimmy Ricky Windham Ii 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 |
|---|
Dr Jimmy Ricky Windham Ii, MD
4381 S Eason Blvd Ste 203,
Tupelo, MS 38801-6557
Ph: (662) 377-5199 | Dr Jimmy Ricky Windham Ii, MD
4381 S Eason Blvd Ste 203,
Tupelo, MS 38801-6557
Ph: (662) 377-5199 |
Reviews and Comments