Gloria J Butler, MD in Vicksburg, MS - Medicare Family Medicine

Gloria J Butler, MD is a medicare enrolled "Family Medicine" physician in Vicksburg, Mississippi. Her current practice location is 2200 Highway 61 N, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 883-3340.

Gloria J Butler is licensed to practice in Mississippi (license number 10669) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750312963.

Contact Information

	Gloria J Butler, MD
	2200 Highway 61 N, Vicksburg, MS 39183-8246
	(601) 883-3340
	Not Available

Map and Direction

Physician's Profile

Full Name	Gloria J Butler
Gender	Female
Speciality	Family Medicine
Location	2200 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: 1750312963
Provider Enumeration Date: 07/05/2006
Last Update Date: 09/10/2020

Medicare PECOS Information:

PECOS PAC ID: 3971665589
Enrollment ID: I20081216000305

Medical Identifiers

Medical identifiers for Gloria J Butler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750312963	NPI	-	NPPES
1994014	Medicaid	LA
5968106	Other	MS	AETNA
4251157	Other	MS	BCBS
0010931	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	10669 (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. Gloria J Butler allows following entities to bill medicare on her 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

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. Gloria J Butler 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
Gloria J Butler, MD 1115 N Frontage Rd, Vicksburg, MS 39180-5102 Ph: (601) 634-8790	Gloria J Butler, MD 2200 Highway 61 N, Vicksburg, MS 39183-8246 Ph: (601) 883-3340

Reviews and Comments

Family Medicine Doctors in Vicksburg, MS

Dr. Robert C Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-8244
Carlos Alberto Latorre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097
Stanley R Easterling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Mcauley Dr, Vicksburg, MS 39183 Phone: 601-638-7271
George Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-619-3838
John R Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969
Dr. Robert Michael Cannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969
Breanna Heard-pinho, Family Medicine Medicare: Medicare Enrolled Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1050 Fax: 601-631-2337

Gloria J Butler, MD - Medicare Family Medicine in Vicksburg, MS