Dr Izzeddin Kamelmaz, MD in Vicksburg, MS

Dr Izzeddin Kamelmaz, MD is a medicare enrolled "Pediatrics" 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) 883-6001.

Dr Izzeddin Kamelmaz is licensed to practice in Alabama (license number 22462) 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 1346344421.

Contact Information

	Dr Izzeddin Kamelmaz, MD
	2100 Highway 61 N, Vicksburg, MS 39183-8211
	(601) 883-6001
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Izzeddin Kamelmaz
Gender	Male
Speciality	Pediatrics
Location	2100 Highway 61 N, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346344421
Provider Enumeration Date: 09/11/2006
Last Update Date: 09/11/2020

Medicare PECOS Information:

PECOS PAC ID: 9436119179
Enrollment ID: I20120202000515

Medical Identifiers

Medical identifiers for Dr Izzeddin Kamelmaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346344421	NPI	-	NPPES
051092816	Other	AL	BCBS
20947	Other	MS	MS LICENSE
000092816	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	22462 (Alabama)	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. Dr Izzeddin Kamelmaz allows following entities to bill medicare on his behalf.

Entity Name	Vicksburg Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738

Entity Name	Family Health Care Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179

Entity Name	Mississippi Hma Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154608883 PECOS PAC ID: 5991972077 Enrollment ID: O20120112000182

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 Izzeddin Kamelmaz 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 Izzeddin Kamelmaz, MD 360 Simpson Hwy 149, Suite 250, Magee, MS 39111-3842 Ph: (601) 849-1550	Dr Izzeddin Kamelmaz, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-6001

Reviews and Comments

Pediatrics Doctors in Vicksburg, MS

Lisa D Fairchild, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Thomas C Moore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1115 N Frontage Rd, Vicksburg, MS 39180 Phone: 601-634-8790
Constance Phylea Barnes-woods, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-3391 Fax: 601-883-3318
Elizabeth N Roy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Geri L Weiland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Gordon W Sluis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1115 N Frontage Rd, Vicksburg, MS 39180 Phone: 601-634-8790

Dr Izzeddin Kamelmaz, MD - Medicare Pediatrics in Vicksburg, MS