Mr Vance Ray Warden I, DC is a medicare enrolled "Chiropractor" in Moss Point, Mississippi. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hwy 63 Medical And Chiropractic Center, Pa. and his current practice location is
19621 Hwy 63, Moss Point, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 588-0188.
Mr Vance Ray Warden I is licensed to practice in Mississippi (license number 0987) 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 1801928700.
Provider's Profile
| Full Name | Mr Vance Ray Warden I |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 19621 Hwy 63, Moss Point, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Vance Ray Warden I graduated from nursing school in 2012
NPI Data:
- NPI Number: 1801928700
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 03/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173681004
- Enrollment ID: I20240104002581
Medical Identifiers
Medical identifiers for Mr Vance Ray Warden I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801928700 | NPI | - | NPPES |
| 350000283 | Other | MS | PTAN |
| 00123522 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | F0113056 (Mississippi) | Secondary |
| 111N00000X | Chiropractor | 0987 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hwy 63 Medical And Chiropractic Center, Pa. | 8628136553 | 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. Mr Vance Ray Warden I allows following entities to bill medicare on his behalf.
| Entity Name | Hwy 63 Medical And Chiropractic Center, Pa. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134370828
PECOS PAC ID: 8628136553
Enrollment ID: O20081022000344 |
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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 Vance Ray Warden I 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 |
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Mr Vance Ray Warden I, DC
Po Box 901,
Hurley, MS 39555-0901
Ph: (228) 588-0188 | Mr Vance Ray Warden I, DC
19621 Hwy 63,
Moss Point, MS 39562
Ph: (228) 588-0188 |
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