Robert E Decoux Jr, MD is a medicare enrolled "General Practice" physician in Mccomb, Mississippi. His current practice location is
300 Rawls Dr, Suite 1300, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 249-3541.
Robert E Decoux Jr is licensed to practice in Mississippi (license number 07001) 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 1487662763.
Physician's Profile
| Full Name | Robert E Decoux Jr |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 300 Rawls Dr, Mccomb, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487662763
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 03/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 2365425113
- Enrollment ID: I20080202000032
Medical Identifiers
Medical identifiers for Robert E Decoux Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487662763 | NPI | - | NPPES |
| 1558935 | Other | MS | AMERICAN ADMIN GROUP |
| 100002670 | Other | | RAILROAD MEDICARE |
| 00012512 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 07001 (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. Robert E Decoux Jr allows following entities to bill medicare on his behalf.
| Entity Name | Amite County Medical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073634226
PECOS PAC ID: 5991607178
Enrollment ID: O20040127000532 |
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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. Robert E Decoux Jr 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 |
|---|
Robert E Decoux Jr, MD
Po Box 511, 102 West Freedom Drive,
Liberty, MS 39645-0511
Ph: (601) 657-4326 | Robert E Decoux Jr, MD
300 Rawls Dr, Suite 1300,
Mccomb, MS 39648-2877
Ph: (601) 249-3541 |
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