<unavail> in Vicksburg, MS - Medicare Psychiatric Unit

is a medicare enrolled mental health clinic (Psychiatric Unit) in Vicksburg, Mississippi. The current practice location for is 1111 N Frontage Rd, Vicksburg, Mississippi. For appointments, you can reach them via phone at (601) 883-5000. The mailing address for is Po Box 841672, Dallas, Texas and phone number is (601) 883-5000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740228881. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 883-5000.

Contact Information


	1111 N Frontage Rd Vicksburg MS 39180-5102
	(601) 883-5000
	(601) 883-3090

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Psychiatric Unit
Location	1111 N Frontage Rd, Vicksburg, Mississippi
Authorized Official Name and Position	Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL)
Authorized Official Contact	6292153953
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 841672 Dallas TX 75284-1672 Ph: (601) 883-5000	1111 N Frontage Rd Vicksburg MS 39180-5102 Ph: (601) 883-5000

NPI Details:

NPI Number	1740228881
Provider Enumeration Date	06/02/2006
Last Update Date	04/22/2021
Certification Date	04/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4688575129
Medicare Enrollment ID	O20061108000688

Medical Identifiers

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

Identifier	Type	State	Issuer
1740228881	NPI	-	NPPES
1749079	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
273R00000X	Psychiatric Unit	(* (Not Available))	Primary

Reviews and Comments

Psychiatric Unit in Vicksburg, MS

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- Medicare Mental Health Clinic in Vicksburg, MS