Mrs Vanessa Leanne Perniciaro, PA in Vicksburg, MS

Mrs Vanessa Leanne Perniciaro, PA is a medicare enrolled "Physician Assistant" in Vicksburg, Mississippi. Her current practice location is 2100 Highway 61 N, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 883-5000.

Mrs Vanessa Leanne Perniciaro is licensed to practice in Mississippi (license number PA00235) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215334800.

Contact Information

	Mrs Vanessa Leanne Perniciaro, PA
	2100 Highway 61 N, Vicksburg, MS 39183-8211
	(601) 883-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Vanessa Leanne Perniciaro
Gender	Female
Speciality	Physician Assistant
Location	2100 Highway 61 N, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215334800
Provider Enumeration Date: 11/25/2014
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5193042638
Enrollment ID: I20150323001248

Medical Identifiers

Medical identifiers for Mrs Vanessa Leanne Perniciaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215334800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00235 (Mississippi)	Primary

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. Mrs Vanessa Leanne Perniciaro 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
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

Reviews and Comments

Physician Assistant Nurses in Vicksburg, MS

Leslie Erin Davis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1202 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-738-5549
Baleigh Ford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2080 S Frontage Rd, #100, Vicksburg, MS 39180 Phone: 601-262-1000
Miss Laura Lavee Burris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Mrs. Carrie Eure, PA-C Physician Assistant Medicare: Accepting Medicare Assignments 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

Mrs Vanessa Leanne Perniciaro, PA - Medicare Physician Assistant in Vicksburg, MS