Dr Kushna K Damallie, MD - Medicare Obstetrics/gynecology in Clarksdale, MS

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Dr Kushna K Damallie, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Clarksdale, Mississippi. He went to Boston University School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Northwest Miss Regional Medical Center and his current practice location is 2000 N State St, Clarksdale, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 627-7361.

Dr Kushna K Damallie is licensed to practice in Tennessee (license number 35758) 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 1861488215.

Contact Information

Dr Kushna K Damallie, MD
2000 N State St,
Clarksdale, MS 38614-6100
(662) 627-7361
(662) 627-1158

Map and Direction




Physician's Profile

Full NameDr Kushna K Damallie
GenderMale
SpecialityObstetrics/gynecology
Experience27 Years
Location2000 N State St, Clarksdale, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kushna K Damallie attended and graduated from Boston University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1861488215
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 01/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103984588
  • Enrollment ID: I20100827000244

Medical Identifiers

Medical identifiers for Dr Kushna K Damallie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861488215NPI-NPPES
09035591MedicaidMS
150159001OtherMSARK MEDICAID
82604OtherMSARK BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 35758 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Mississippi Medical CenterClarksdale, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Miss Regional Medical Center317396917713

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 Kushna K Damallie allows following entities to bill medicare on his behalf.
Entity NameObhg Mississippi Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083995674
PECOS PAC ID: 7416120407
Enrollment ID: O20111108000567
Entity NameProgressive Medical Management Of Batesville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700349222
PECOS PAC ID: 0345583225
Enrollment ID: O20191114002265
Entity NameHaven Pregnancy Wellness & Womens Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336824978
PECOS PAC ID: 7315394525
Enrollment ID: O20231109001978
Entity NameNorthwest Miss Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598458515
PECOS PAC ID: 3173969177
Enrollment ID: O20240610002576
Entity NameNorthwest Miss Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780423715
PECOS PAC ID: 3173969177
Enrollment ID: O20250225004027

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 Kushna K Damallie 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
Dr Kushna K Damallie, MD
2000 N State St,
Clarksdale, MS 38614-6100

Ph: (662) 627-7361		Dr Kushna K Damallie, MD
2000 N State St,
Clarksdale, MS 38614-6100

Ph: (662) 627-7361

Reviews and Comments


Obstetrics & Gynecology Doctors in Clarksdale, MS

Dr. Delphia M Hord, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N State St, Clarksdale, MS 38614
Phone: 662-627-7361    Fax: 662-627-1158

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.