Dr Berthrone Lacalvin Mock-muhammad, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" provider in Jackson, Mississippi. He went to Meharry Medical College School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Northern Maine Medical Center, Wesley Physician Services Llc and his current practice location is
406 Briarwood Dr Ste 401, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 707-7899.
Dr Berthrone Lacalvin Mock-muhammad is licensed to practice in Mississippi (license number 20402) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285781153.
Healthcare Provider's Profile
| Full Name | Dr Berthrone Lacalvin Mock-muhammad |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 26 Years |
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| Location | 406 Briarwood Dr Ste 401, Jackson, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Berthrone Lacalvin Mock-muhammad attended and graduated from Meharry Medical College School Of Medicine in 2000
NPI Data:
- NPI Number: 1285781153
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658439153
- Enrollment ID: I20241107003303
Medical Identifiers
Medical identifiers for Dr Berthrone Lacalvin Mock-muhammad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285781153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2251C2600X | Physical Therapist - Cardiopulmonary | (* (Not Available)) | Secondary |
| 2251E1300X | Physical Therapist - Electrophysiology, Clinical | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 20402 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northern Maine Medical Center | 8426952987 | 46 |
| | |
| Wesley Physician Services Llc | 2466559851 | 42 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Berthrone Lacalvin Mock-muhammad allows following entities to bill medicare on his behalf.
| Entity Name | Northern Maine Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568465144
PECOS PAC ID: 8426952987
Enrollment ID: O20040511000177 |
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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. Dr Berthrone Lacalvin Mock-muhammad 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 |
|---|
Dr Berthrone Lacalvin Mock-muhammad, MD
406 Briarwood Dr Ste 401,
Jackson, MS 39206-3063
Ph: (601) 707-7899 | Dr Berthrone Lacalvin Mock-muhammad, MD
406 Briarwood Dr Ste 401,
Jackson, MS 39206-3063
Ph: (601) 707-7899 |
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