Christine S Peddapanga, DO - Medicare Family Practice in Vicksburg, MS

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Christine S Peddapanga, DO is a medicare enrolled "Family Medicine" physician in Vicksburg, Mississippi. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Scott Regional Medical Center, Inc. and her current practice location is 2200 Highway 61 N Ste 2400, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 883-3340.

Christine S Peddapanga is licensed to practice in Mississippi (license number 31630) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104434307.

Contact Information

Christine S Peddapanga, DO
2200 Highway 61 N Ste 2400,
Vicksburg, MS 39183-8246
(601) 883-3340
(601) 661-0984

Map and Direction




Physician's Profile

Full NameChristine S Peddapanga
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location2200 Highway 61 N Ste 2400, Vicksburg, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christine S Peddapanga graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1104434307
  • Provider Enumeration Date: 07/14/2020
  • Last Update Date: 06/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8628423811
  • Enrollment ID: I20231007000569

Medical Identifiers

Medical identifiers for Christine S Peddapanga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104434307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 31630 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Scott Regional Hospital CahMorton, MSHospital
S E Lackey Memorial HospitalForest, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scott Regional Medical Center, Inc.064836626014

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. Christine S Peddapanga allows following entities to bill medicare on her behalf.
Entity NameScott Regional Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639367188
PECOS PAC ID: 0648366260
Enrollment ID: O20080423000448

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. Christine S Peddapanga 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 AddressPractice Location Address
Christine S Peddapanga, DO
Po Box 5392,
Meridian, MS 39302-5392

Ph: (601) 703-9407		Christine S Peddapanga, DO
2200 Highway 61 N Ste 2400,
Vicksburg, MS 39183-8246

Ph: (601) 883-3340

Reviews and Comments


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Dr. Robert Michael Cannon, M.D.
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Phone: 601-636-0097    Fax: 601-629-9969

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.