Central Mississippi Foot Specialist, Pllc is a medicare enrolled "Podiatrist - Foot Surgery" provider in Brandon, Mississippi. Their current practice location is
103 Service Dr, Brandon, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(601) 824-4700.
Central Mississippi Foot Specialist, Pllc is licensed to practice in Mississippi (license number 80160) and it also participates in the medicare program. Central Mississippi Foot Specialist, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1407052319.
Healthcare Provider's Profile
Full Name | Central Mississippi Foot Specialist, Pllc |
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Type | Facility |
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Speciality | Podiatrist - Foot Surgery |
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Location | 103 Service Dr, Brandon, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407052319
- Provider Enumeration Date: 06/26/2007
- Last Update Date: 04/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 9537247960
- Enrollment ID: O20080424000555
Medical Identifiers
Medical identifiers for Central Mississippi Foot Specialist, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407052319 | NPI | - | NPPES |
09015930 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0131X | Podiatrist - Foot Surgery | 80160 (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.
Central Mississippi Foot Specialist, Pllc acts as a billing entity for following providers:
Provider Name | Lawrence E Tamburino |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1083689277 PECOS PAC ID: 7810075231 Enrollment ID: I20080424000533 |
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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. Central Mississippi Foot Specialist, Pllc 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 |
Central Mississippi Foot Specialist, Pllc 103 Service Dr, Brandon, MS 39042-2401 Ph: (601) 824-4700 | Central Mississippi Foot Specialist, Pllc 103 Service Dr, Brandon, MS 39042-2401 Ph: (601) 824-4700 |
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