James Keith Stanford Ii, MD is a medicare enrolled "Otolaryngology" physician in Vicksburg, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Vicksburg Clinic Llc and his current practice location is
2200 Highway 61 N Ste 2300, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 883-3320.
James Keith Stanford Ii is licensed to practice in Mississippi (license number T-3219) 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 1063866705.
Physician's Profile
Full Name | James Keith Stanford Ii |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 8 Years |
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Location | 2200 Highway 61 N Ste 2300, Vicksburg, Mississippi |
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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:
- James Keith Stanford Ii attended and graduated from University Of Mississippi School Of Medicine in 2016
NPI Data:
- NPI Number: 1063866705
- Provider Enumeration Date: 04/19/2016
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133412976
- Enrollment ID: I20210713003784
Medical Identifiers
Medical identifiers for James Keith Stanford Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063866705 | NPI | - | NPPES |
01882015 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | T-3219 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vicksburg Clinic Llc | 5890696330 | 23 |
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. James Keith Stanford Ii allows following entities to bill medicare on his behalf.
Entity Name | Vicksburg Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738 |
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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. James Keith Stanford 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 |
James Keith Stanford Ii, MD Po Box 689022, Franklin, TN 37068-9022 Ph: (615) 465-7361 | James Keith Stanford Ii, MD 2200 Highway 61 N Ste 2300, Vicksburg, MS 39183-8246 Ph: (601) 883-3320 |
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