Victoria Mansfield, PA is a medicare enrolled "Physician Assistant - Surgical" in Hernando, Mississippi. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Msk Group Pc, Msk Group Pc and her current practice location is
2670 Mcingvale Rd Ste J, Hernando, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(901) 259-1600.
Victoria Mansfield is licensed to practice in Mississippi (license number PA00419) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255895017.
Provider's Profile
| Full Name | Victoria Mansfield |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 2670 Mcingvale Rd Ste J, Hernando, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Victoria Mansfield graduated from nursing school in 2018
NPI Data:
- NPI Number: 1255895017
- Provider Enumeration Date: 01/25/2019
- Last Update Date: 04/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345580916
- Enrollment ID: I20190423002081
Medical Identifiers
Medical identifiers for Victoria Mansfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255895017 | NPI | - | NPPES |
| PA00419 | Other | MS | MS LICENSE |
| 3785 | Other | TN | TN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | PA00419 (Mississippi) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 3785 (Tennessee) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA00419 (Mississippi) | Primary |
| 363AM0700X | Physician Assistant - Medical | 3785 (Tennessee) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Msk Group Pc | 4688574262 | 138 |
| Msk Group Pc | 4688574262 | 138 |
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. Victoria Mansfield allows following entities to bill medicare on her behalf.
| Entity Name | Msk Group PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912303447 PECOS PAC ID: 4688574262 Enrollment ID: O20150203002032 |
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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. Victoria Mansfield 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 |
Victoria Mansfield, PA 6077 Primacy Pkwy Ste 140, Memphis, TN 38119-5754 Ph: (901) 725-8347 | Victoria Mansfield, PA 2670 Mcingvale Rd Ste J, Hernando, MS 38632-8696 Ph: (901) 259-1600 |
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