Foot And Surgery Clinic, Inc is a medicare enrolled "Podiatrist - Foot Surgery" provider in Byram, Mississippi. Their current practice location is
7402 S Siwell Rd, Suite 110, Byram, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(601) 372-3222.
Foot And Surgery Clinic, Inc is licensed to practice in Mississippi (license number 80112) and it also participates in the medicare program. Foot And Surgery Clinic, Inc
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 1124479100.
Healthcare Provider's Profile
| Full Name | Foot And Surgery Clinic, Inc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot Surgery |
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| Location | 7402 S Siwell Rd, Byram, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124479100
- Provider Enumeration Date: 06/30/2016
- Last Update Date: 08/21/2017
Medicare PECOS Information:
- PECOS PAC ID: 3971862426
- Enrollment ID: O20180109002179
Medical Identifiers
Medical identifiers for Foot And Surgery Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124479100 | NPI | - | NPPES |
| 00111109 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | 80112 (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.
Foot And Surgery Clinic, Inc acts as a billing entity for following providers:
| Provider Name | Vershern Edwards |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1497905079
PECOS PAC ID: 8123044229
Enrollment ID: I20051018000968 |
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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. Foot And Surgery Clinic, Inc 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 |
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Foot And Surgery Clinic, Inc
7402 S Siwell Rd, Suite 110,
Byram, MS 39272-9386
Ph: (601) 372-3222 | Foot And Surgery Clinic, Inc
7402 S Siwell Rd, Suite 110,
Byram, MS 39272-9386
Ph: (601) 372-3222 |
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