Mr Walter Edward Gipson Iv, MD - Medicare Family Practice in Picayune, MS

Mr Walter Edward Gipson Iv, MD is a medicare enrolled "Family Medicine" physician in Picayune, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Forrest County General Hospital and his current practice location is 1702 Hwy 11 N, Ste A, Picayune, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 799-3130.

Mr Walter Edward Gipson Iv is licensed to practice in Mississippi (license number 13890) 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 1023121555.

Contact Information

Mr Walter Edward Gipson Iv, MD
1702 Hwy 11 N, Ste A,
Picayune, MS 39466
(601) 799-3130
(601) 799-3132

Map and Direction




Physician's Profile

Full NameMr Walter Edward Gipson Iv
GenderMale
SpecialityFamily Practice
Experience31 Years
Location1702 Hwy 11 N, Picayune, 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:
  • Mr Walter Edward Gipson Iv attended and graduated from University Of Mississippi School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1023121555
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 05/17/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0244212454
  • Enrollment ID: I20040602000877

Medical Identifiers

Medical identifiers for Mr Walter Edward Gipson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023121555NPI-NPPES
640880384OtherMSBLUE CROSS
00112115MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 13890 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health-home Health & HospiceHattiesburg, MSHome health agency
Mississippi Homecare Of PicayunePicayune, MSHome health agency
Forrest General Home CareHattiesburg, MSHome health agency
Kare In Home Health ServicesGulfport, MSHome health agency
Camellia Home Health And HospiceHattiesburg, MSHospice
Highland Community HospitalPicayune, MSHospital
Slidell Memorial HospitalSlidell, LAHospital
Forrest General HospitalHattiesburg, MSHospital
Pearl River County HospitalPoplarville, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forrest County General Hospital105239776785

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. Mr Walter Edward Gipson Iv allows following entities to bill medicare on his behalf.
Entity NameForrest County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295837631
PECOS PAC ID: 1052397767
Enrollment ID: O20040624001351
Entity NamePearl River County Hospital & Nursing Home
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003026717
PECOS PAC ID: 5496704363
Enrollment ID: O20050118000715

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. Mr Walter Edward Gipson Iv 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
Mr Walter Edward Gipson Iv, MD
1702 A Hwy 11 North,
Picayune, MS 39466

Ph: (601) 799-3130
Mr Walter Edward Gipson Iv, MD
1702 Hwy 11 N, Ste A,
Picayune, MS 39466

Ph: (601) 799-3130

Reviews and Comments


Family Medicine Doctors in Picayune, MS

Terrance A Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1128 Highland Parkway, Suite 200, Picayune, MS 39466
Phone: 601-358-9630    Fax: 601-358-9640
Cadence Tara Griffing, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2274 Highway 43 S, Picayune, MS 39466
Phone: 601-215-2383    Fax: 601-215-2384
Dewitt L Bolton, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 906 Sixth Ave, Picayune, MS 39466
Phone: 601-798-7529    Fax: 601-798-7553
Wayne E Grayson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 906 Sixth Ave, Picayune, MS 39466
Phone: 601-798-7529    Fax: 601-798-7553
Kimberly J Carver,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 146 Highland Pkwy Ste C, Picayune, MS 39466
Phone: 601-358-9765    
James M Riser, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2274 Highway 43 S, Picayune, MS 39466
Phone: 601-798-5798    

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.