| Mrs Vanessa Leanne Perniciaro, PA | |
|
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
| (601) 883-5000 | |
| Not Available |
| Full Name | Mrs Vanessa Leanne Perniciaro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 2100 Highway 61 N, Vicksburg, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215334800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00235 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Singing River Gulfport | Gulfport, MS | Hospital |
| Ochsner Medical Center-hancock | Bay saint louis, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hancock Emergency Group Llc | 8022237015 | 28 |
| 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 | Mississippi Physicians LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902174832 PECOS PAC ID: 7113193855 Enrollment ID: O20111230000560 |
| Entity Name | Hancock Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295142396 PECOS PAC ID: 8022237015 Enrollment ID: O20140924002285 |
| Entity Name | App of Mississippi Ed LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Jackson HB Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184305856 PECOS PAC ID: 6103273131 Enrollment ID: O20231113001051 |
| Entity Name | Mississippi Emergency Department Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881427961 PECOS PAC ID: 7113453960 Enrollment ID: O20241204001265 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Vanessa Leanne Perniciaro, PA 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 | Mrs Vanessa Leanne Perniciaro, PA 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 |
Leslie Erin Davis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1202 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-738-5549 |
Mrs. Leah Jones Calder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 188 Ymca Pl, Vicksburg, MS 39183 Phone: 601-630-3376 |
Baleigh Ford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2080 S Frontage Rd, #100, Vicksburg, MS 39180 Phone: 601-262-1000 |
Mrs. Carrie Eure, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5940 |
Morgan Joseph Caulfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 Phone: 601-262-1000 |
Larry Daily, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 |
Miss Dallas Michelle Thomason, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1173 Fax: 601-638-8287 |