Ms Mary S Missak, MD in Southaven, MS - Medicare Internal Medicine

Ms Mary S Missak, MD is a medicare enrolled "Internal Medicine" physician in Southaven, Mississippi. She graduated from medical school in 1979 and has 46 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Baptist Memorial Hospital-desoto, Inc., Southaven Internal Medicine, P.c. and her current practice location is 7680 Airways Blvd, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 349-1999.

Ms Mary S Missak is licensed to practice in Mississippi (license number 16715) 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 1962507061.

Contact Information

	Ms Mary S Missak, MD
	7680 Airways Blvd, Southaven, MS 38671-5304
	(662) 349-1999
	(662) 349-9734

Map and Direction

Physician's Profile

Full Name	Ms Mary S Missak
Gender	Female
Speciality	Internal Medicine
Experience	46 Years
Location	7680 Airways Blvd, Southaven, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Mary S Missak graduated from medical school in 1979

NPI Data:

NPI Number: 1962507061
Provider Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7416015904
Enrollment ID: I20081028000478

Medical Identifiers

Medical identifiers for Ms Mary S Missak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962507061	NPI	-	NPPES
3152270	Other	TN	BLUE CROSS
00122932	Other		MAILHANDLERS
640922089001	Other	TN	CHAMPUS
00122932	Medicaid	MS
3149420	Other	TN	TN BLUE CROSS FOR MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	16715 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Homechoice Health Services, Inc	Hernando, MS	Home health agency
Compassus - Memphis	Southaven, MS	Hospice
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital
Methodist Healthcare - Olive Branch Hospital	Olive branch, MS	Hospital
Baptist Memorial Hospital	Memphis, TN	Hospital
Methodist Healthcare Memphis Hospitals	Memphis, TN	Hospital
Baptist Memorial Hospital-crittenden, Inc	West memphis, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Memorial Hospital-desoto, Inc.	5597758755	5
Southaven Internal Medicine, P.c.	7416858683	2

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. Ms Mary S Missak allows following entities to bill medicare on her behalf.

Entity Name	Baptist Memorial Hospital-desoto, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194789818 PECOS PAC ID: 5597758755 Enrollment ID: O20040405001337

Entity Name	Southaven Internal Medicine, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932259355 PECOS PAC ID: 7416858683 Enrollment ID: O20110126000722

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. Ms Mary S Missak 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
Ms Mary S Missak, MD 7680 Airways Blvd, Southaven, MS 38671-5304 Ph: (662) 349-1999	Ms Mary S Missak, MD 7680 Airways Blvd, Southaven, MS 38671-5304 Ph: (662) 349-1999

Reviews and Comments

Internal Medicine Doctors in Southaven, MS

Shan Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960
Sohail A Minhas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 100, Southaven, MS 38671 Phone: 662-349-2442 Fax: 662-349-8551
Dr. Jimmy Darrell Sneed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 200, Southaven, MS 38671 Phone: 901-271-1000 Fax: 901-271-4187
Dr. Lily Herbert, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 7680 Airways Blvd, Southaven, MS 38671 Phone: 662-349-1999 Fax: 662-349-9734
Dr. Michael Henry Vaughan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960
Dr. Yadana Kyaw, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 363 Southcrest Cir Ste 201, Southaven, MS 38671 Phone: 662-349-0488 Fax: 901-850-1169
Dr. Nabeel Hasan Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9140 Highway 51 N, Southaven, MS 38671 Phone: 662-280-8222 Fax: 662-280-5541

Ms Mary S Missak, MD - Medicare Internal Medicine in Southaven, MS