William C Porter Jr, MD | |
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
(601) 883-5000 | |
Not Available |
Full Name | William C Porter Jr |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 43 Years |
Location | 2100 Highway 61 N, Vicksburg, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528099413 | NPI | - | NPPES |
00016876 | Medicaid | MS | |
1361461 | Medicaid | LA | |
4522324 | Other | MS | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 11121 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Deaconess Homecare-region 11 | Brookhaven, MS | Home health agency |
Merit Health River Region | Vicksburg, MS | Hospital |
Merit Health Natchez | Natchez, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vicksburg Clinic Llc | 5890696330 | 23 |
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 |
Mailing Address | Practice Location Address |
---|---|
William C Porter Jr, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 885-5000 | William C Porter Jr, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 |
Daniel P Dare, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2080 S Frontage Rd, Suite 113, Vicksburg, MS 39180 Phone: 601-636-1219 Fax: 601-636-1076 | |
Tulio Figarola, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-3391 Fax: 901-883-3395 | |
Erica Kellyn Smith, PA-C, ATC Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Christopher Cody Tipton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-3553 |