Sara Porter, is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Madison, Mississippi. Her current practice location is
401 Baptist Dr Ste 301, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 499-0935.
Sara Porter is licensed to practice in Mississippi (license number 30454) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568959773.
Physician's Profile
Full Name | Sara Porter |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 401 Baptist Dr Ste 301, Madison, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568959773
- Provider Enumeration Date: 04/13/2018
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355672387
- Enrollment ID: I20191007000346
Medical Identifiers
Medical identifiers for Sara Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568959773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | T-3840 (Mississippi) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 30454 (Mississippi) | Primary |
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. Sara Porter 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 |
Sara Porter, 401 Baptist Dr Ste 301, Madison, MS 39110-2012 Ph: () - | Sara Porter, 401 Baptist Dr Ste 301, Madison, MS 39110-2012 Ph: (601) 499-0935 |
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