Oak Street Health Physicians Group Of Mississippi, Llc - Medicare Mental Health Clinic in Jackson, MS

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Oak Street Health Physicians Group Of Mississippi, Llc is a medicare enrolled mental health clinic (Family Medicine) in Jackson, Mississippi. The current practice location for Oak Street Health Physicians Group Of Mississippi, Llc is 911 Ellis Ave, Jackson, Mississippi. For appointments, you can reach them via phone at (601) 533-7016. The mailing address for Oak Street Health Physicians Group Of Mississippi, Llc is Po Box 746085, Atlanta, Georgia and phone number is (312) 733-9730.

Oak Street Health Physicians Group Of Mississippi, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235754995. 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) 533-7016.

Contact Information

Oak Street Health Physicians Group Of Mississippi, Llc
911 Ellis Ave
Jackson
MS 39209
(601) 533-7016
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameOak Street Health Physicians Group Of Mississippi, Llc
SpecialityFamily Medicine
Location911 Ellis Ave, Jackson, Mississippi
Authorized Official Name and PositionDavid Grandison Fairchild (CMO,OWNER)
Authorized Official Contact6172765349
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Oak Street Health Physicians Group Of Mississippi, Llc
Po Box 746085
Atlanta
GA 30374-6085

Ph: (312) 733-9730		Oak Street Health Physicians Group Of Mississippi, Llc
911 Ellis Ave
Jackson
MS 39209

Ph: (601) 533-7016

NPI Details:

NPI Number1235754995
Provider Enumeration Date06/09/2020
Last Update Date11/14/2024
Certification Date11/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7012334170
Medicare Enrollment IDO20200903001414

Medical Identifiers

Medical identifiers for Oak Street Health Physicians Group Of Mississippi, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235754995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Oak Street Health Physicians Group Of Mississippi, Llc acts as a billing entity for following providers:
Provider NameBob Hutchins
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033150263
PECOS PAC ID: 8426947706
Enrollment ID: I20040313000771
Provider NameBarbara Kendrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134152424
PECOS PAC ID: 0244286862
Enrollment ID: I20050328000329
Provider NameBarbara Tapps
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316158900
PECOS PAC ID: 3274694419
Enrollment ID: I20081208000049
Provider NameJoseph S Hunter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467459149
PECOS PAC ID: 3072682095
Enrollment ID: I20100125000817
Provider NameNancy Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659400885
PECOS PAC ID: 9537260351
Enrollment ID: I20101112000454
Provider NameSchyler Dewayne Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568855179
PECOS PAC ID: 9537489091
Enrollment ID: I20150522001857
Provider NameTakita M Murriel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578827739
PECOS PAC ID: 0446560346
Enrollment ID: I20151105000113
Provider NameFelix Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982119228
PECOS PAC ID: 4082972112
Enrollment ID: I20171219003448
Provider NameCara Monette Morgan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366477630
PECOS PAC ID: 8820999295
Enrollment ID: I20190416000889
Provider NameZipora Martin-brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912471939
PECOS PAC ID: 5092057414
Enrollment ID: I20190503000901
Provider NameAli Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710202999
PECOS PAC ID: 7810137718
Enrollment ID: I20201001000846
Provider NameRachel Sabb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629321096
PECOS PAC ID: 0547412371
Enrollment ID: I20210427001355
Provider NameKelley B Moule
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689984916
PECOS PAC ID: 6800293226
Enrollment ID: I20210927002505
Provider NameJana Robinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144358722
PECOS PAC ID: 5395817084
Enrollment ID: I20220121000585
Provider NameRochelle Brumfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518415959
PECOS PAC ID: 4486935533
Enrollment ID: I20221210000321
Provider NameJustin Hunt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326138074
PECOS PAC ID: 6901842228
Enrollment ID: I20230104000382
Provider NameKimbell Bingham Waters
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316646128
PECOS PAC ID: 6204201262
Enrollment ID: I20230405002651

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.