Thomas P Forks, DO - Medicare Family Medicine in Jackson, MS

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Thomas P Forks, DO is a medicare enrolled "Family Medicine" physician in Jackson, Mississippi. His current practice location is 7275 S Siwell Rd, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 373-7722.

Thomas P Forks is licensed to practice in Mississippi (license number 12215) 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 1164499190.

Contact Information

Thomas P Forks, DO
7275 S Siwell Rd,
Jackson, MS 39272-9776
(601) 373-7722
(601) 373-7378

Map and Direction




Physician's Profile

Full NameThomas P Forks
GenderMale
SpecialityFamily Medicine
Location7275 S Siwell Rd, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164499190
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 12/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2365331840
  • Enrollment ID: I20040312000591

Medical Identifiers

Medical identifiers for Thomas P Forks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164499190NPI-NPPES
753068151OtherMSMS HEALTH PARTNERS
753068151OtherMS1ST CHOICE
00119587MedicaidMS
4253992OtherMSAETNA
P00138501OtherMSRAILROAD MEDICARE
168390702OtherMSDEPARTMENT OF LABOR
753068151008OtherMSTRICARE
753068151OtherMSMS PHYSICIANS CARE NETWOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 12215 (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. Thomas P Forks allows following entities to bill medicare on his behalf.
Entity NameFirst Intermed Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669406658
PECOS PAC ID: 5294629895
Enrollment ID: O20040213000105

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. Thomas P Forks 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
Thomas P Forks, DO
1151 N State St, Suite 408,
Jackson, MS 39202-2407

Ph: (601) 292-4261		Thomas P Forks, DO
7275 S Siwell Rd,
Jackson, MS 39272-9776

Ph: (601) 373-7722

Reviews and Comments


Family Medicine Doctors in Jackson, MS

Dr. Tesia Shani Hall-hill, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204
Phone: 601-914-0163    Fax: 601-914-0170
Mrs. Christian Fortenberry, FNP
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Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216
Phone: 601-200-4560    
Dr. Marcia L Howard,
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Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216
Phone: 601-984-5426    Fax: 601-984-6889
Stephen Paul Epperson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1225 N State St, Jackson, MS 39202
Phone: 601-988-5281    Fax: 601-974-5241
Deborah O'bryan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-4778    Fax: 601-984-5420
Dr. Cassandra Faye Thomas, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-981-7198    Fax: 601-981-6616
Mrs. Sydney Mccary Ponder,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1325 E Fortification St, Jackson, MS 39202
Phone: 601-354-4488    

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.