The Nordal Clinic, Pa in Vicksburg, MS

The Nordal Clinic, Pa is a medicare enrolled mental health clinic (Psychologist - Health Service) in Vicksburg, Mississippi. The current practice location for The Nordal Clinic, Pa is 1121 Grove St, Vicksburg, Mississippi. For appointments, you can reach them via phone at (601) 634-0118. The mailing address for The Nordal Clinic, Pa is 1121 Grove St, Vicksburg, Mississippi and phone number is (601) 634-0118.

The Nordal Clinic, Pa is licensed to practice in Mississippi (license number ). The clinic also participates in the medicare program and its NPI number is 1558483743. 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) 634-0118.

Contact Information

	The Nordal Clinic, Pa
	1121 Grove St Vicksburg MS 39183-2913
	(601) 634-0118
	(601) 630-0302

Map and Direction

Mental Health Clinic Profile

Full Name	The Nordal Clinic, Pa
Speciality	Psychologist
Location	1121 Grove St, Vicksburg, Mississippi
Authorized Official Name and Position	Katherine C Nordal (PRESIDENT)
Authorized Official Contact	6016340118
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
The Nordal Clinic, Pa 1121 Grove St Vicksburg MS 39183-2913 Ph: (601) 634-0118	The Nordal Clinic, Pa 1121 Grove St Vicksburg MS 39183-2913 Ph: (601) 634-0118

NPI Details:

NPI Number	1558483743
Provider Enumeration Date	04/06/2007
Last Update Date	08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	6103087499
Medicare Enrollment ID	O20120412000745

Medical Identifiers

Medical identifiers for The Nordal Clinic, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558483743	NPI	-	NPPES
09011887	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0100X	Psychologist - Health Service	(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. The Nordal Clinic, Pa acts as a billing entity for following providers:

Provider Name	Angela Jeanne Koestler
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1942391180 PECOS PAC ID: 7911168208 Enrollment ID: I20120412000756

Reviews and Comments

Psychologist in Vicksburg, MS

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Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2705 Clay St, Vicksburg, MS 39183 Phone: 601-661-9752 Fax: 601-661-6021

The Nordal Clinic, Pa - Medicare Mental Health Clinic in Vicksburg, MS