Stanley R Easterling, MD in Vicksburg, MS

Stanley R Easterling, MD is a medicare enrolled "Family Medicine" physician in Vicksburg, Mississippi. His current practice location is 104 Mcauley Dr, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 638-7271.

Stanley R Easterling is licensed to practice in Mississippi (license number 10687) 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 1154359818.

Contact Information

	Stanley R Easterling, MD
	104 Mcauley Dr, Vicksburg, MS 39183-2825
	(601) 638-7271
	Not Available

Map and Direction

Physician's Profile

Full Name	Stanley R Easterling
Gender	Male
Speciality	Family Medicine
Location	104 Mcauley Dr, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154359818
Provider Enumeration Date: 06/29/2006
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 1254464209
Enrollment ID: I20100728000749

Medical Identifiers

Medical identifiers for Stanley R Easterling such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154359818	NPI	-	NPPES
1383872	Medicaid	LA
00114107	Medicaid	MS
4216184	Other	MS	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	10687 (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. Stanley R Easterling allows following entities to bill medicare on his behalf.

Entity Name	Vicksburg Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738

Entity Name	Pathway Healthcare- Columbus Ms Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245755990 PECOS PAC ID: 4385903905 Enrollment ID: O20180104001883

Entity Name	Pathway Healthcare- Mississippi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013425503 PECOS PAC ID: 3779844774 Enrollment ID: O20180308001891

Entity Name	Pathway Healthcare - Jackson, Ms, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487179156 PECOS PAC ID: 1052674439 Enrollment ID: O20180417002749

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. Stanley R Easterling 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
Stanley R Easterling, MD 1000 Urban Center Dr, Ste 600, Vestavia, AL 35242-2584 Ph: (601) 638-7271	Stanley R Easterling, MD 104 Mcauley Dr, Vicksburg, MS 39183-2825 Ph: (601) 638-7271

Reviews and Comments

Family Medicine Doctors in Vicksburg, MS

Dr. Robert C Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-8244
Carlos Alberto Latorre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097
George Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-619-3838
John R Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969
Dr. Robert Michael Cannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969
Breanna Heard-pinho, Family Medicine Medicare: Medicare Enrolled Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1050 Fax: 601-631-2337

Stanley R Easterling, MD - Medicare Family Medicine in Vicksburg, MS