| William C Porter Jr, MD | |
|
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
| (601) 883-5000 | |
| Not Available |
| Full Name | William C Porter Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 44 Years |
| Location | 2100 Highway 61 N, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528099413 | NPI | - | NPPES |
| 00016876 | Medicaid | MS | |
| 1361461 | Medicaid | LA | |
| 4522324 | Other | MS | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 11121 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health River Region | Vicksburg, MS | Hospital |
| Merit Health Natchez | Natchez, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vicksburg Clinic Llc | 5890696330 | 25 |
| 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 |
| Entity Name | Natchez Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881003184 PECOS PAC ID: 6406178789 Enrollment ID: O20141124001749 |
| Mailing Address | Practice Location Address |
|---|---|
| William C Porter Jr, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 885-5000 | William C Porter Jr, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 |
Daniel P Dare, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2080 S Frontage Rd, Suite 113, Vicksburg, MS 39180 Phone: 601-636-1219 Fax: 601-636-1076 | |
Tulio Figarola, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-3391 Fax: 901-883-3395 | |
Erica Kellyn Smith, PA-C, ATC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Christopher Cody Tipton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-3553 |