Madison Ridgeland Medical Clinic - Medicare Primary Care in Ridgeland, MS

Madison Ridgeland Medical Clinic is a medicare enrolled primary clinic (Internal Medicine) in Ridgeland, Mississippi. The current practice location for Madison Ridgeland Medical Clinic is 12 Professional Pkwy, Ridgeland, Mississippi. For appointments, you can reach them via phone at (601) 856-2460. The mailing address for Madison Ridgeland Medical Clinic is 12 Professional Pkwy, Ridgeland, Mississippi and phone number is (601) 856-2460.

Madison Ridgeland Medical Clinic is licensed to practice in Mississippi (license number 10202). The clinic also participates in the medicare program and its NPI number is 1316128762. 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) 856-2460.

Contact Information

Madison Ridgeland Medical Clinic
12 Professional Pkwy
Ridgeland
MS 39157-4113
(601) 856-2460
(601) 856-4687

Map and Direction


Primary Care Clinic Profile

Full NameMadison Ridgeland Medical Clinic
SpecialityInternal Medicine
Location12 Professional Pkwy, Ridgeland, Mississippi
Authorized Official Name and PositionIndira K Veerisetty (OWNER)
Authorized Official Contact6018562460
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Madison Ridgeland Medical Clinic
12 Professional Pkwy
Ridgeland
MS 39157-4113

Ph: (601) 856-2460
Madison Ridgeland Medical Clinic
12 Professional Pkwy
Ridgeland
MS 39157-4113

Ph: (601) 856-2460

NPI Details:

NPI Number1316128762
Provider Enumeration Date11/14/2007
Last Update Date06/11/2008

Medicare PECOS Information:

Medicare PECOS PAC ID2668543349
Medicare Enrollment IDO20080624000559

Medical Identifiers

Medical identifiers for Madison Ridgeland Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316128762NPI-NPPES
00014170MedicaidMS
CK4239OtherMSMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 10202 (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. Madison Ridgeland Medical Clinic acts as a billing entity for following providers:
Provider NameIndira K Veerisetty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720011778
PECOS PAC ID: 2062315187
Enrollment ID: I20040128000233
Provider NameKenneth P Kaiser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073557039
PECOS PAC ID: 9133194038
Enrollment ID: I20040901001138
Provider NameAdrian B Mcclellan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336426543
PECOS PAC ID: 8729254701
Enrollment ID: I20111221000418
Provider NameShaquita Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376948075
PECOS PAC ID: 8022396936
Enrollment ID: I20161027002050
Provider NameGagandeep Bal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578072245
PECOS PAC ID: 8921365974
Enrollment ID: I20171129000489
Provider NameWendell Glover
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336535053
PECOS PAC ID: 6608267737
Enrollment ID: I20230531002412

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.