Allen R Yates, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Vicksburg, Mississippi. His current practice location is
2100 Highway 61 N, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 883-6832.
Allen R Yates is licensed to practice in Mississippi (license number 06373) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528148855.
Physician's Profile
| Full Name | Allen R Yates |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 2100 Highway 61 N, Vicksburg, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528148855
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840257440
- Enrollment ID: I20041215000602
Medical Identifiers
Medical identifiers for Allen R Yates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528148855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 06373 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Allen R Yates allows following entities to bill medicare on his behalf.
| Entity Name | South Sunflower County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
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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. Allen R Yates 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 |
Allen R Yates, MD Po Box 12870, Jackson, MS 39236-2870 Ph: (601) 896-0019 | Allen R Yates, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-6832 |
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