Mississippi State University - Medicare Primary Care in Mississippi State, MS

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Mississippi State University is a medicare enrolled primary clinic (Clinic/center - Student Health) in Mississippi State, Mississippi. The current practice location for Mississippi State University is 360 Hardy Rd, Mississippi State, Mississippi. For appointments, you can reach them via phone at (662) 325-2431. The mailing address for Mississippi State University is Po Box 6338, Mississippi State, Mississippi and phone number is (662) 325-2431.

Mississippi State University is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225012255. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 325-2431.

Contact Information

Mississippi State University
360 Hardy Rd
Mississippi State
MS 39762
(662) 325-2431
(662) 325-8888

Map and Direction


Primary Care Clinic Profile

Full NameMississippi State University
SpecialityClinic/Center
Location360 Hardy Rd, Mississippi State, Mississippi
Authorized Official Name and PositionDaniel T Hale (CLINIC BUSINESS ADMINISTRATOR)
Authorized Official Contact6623255895
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mississippi State University
Po Box 6338
Mississippi State
MS 39762-6338

Ph: (662) 325-2431		Mississippi State University
360 Hardy Rd
Mississippi State
MS 39762

Ph: (662) 325-2431

NPI Details:

NPI Number1225012255
Provider Enumeration Date12/02/2005
Last Update Date09/29/2021

Medicare PECOS Information:

Medicare PECOS PAC ID1254404320
Medicare Enrollment IDO20080723000051

Medical Identifiers

Medical identifiers for Mississippi State University such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225012255NPI-NPPES
09012379MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QS1000XClinic/center - Student Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mississippi State University acts as a billing entity for following providers:
Provider NamePhilip Earl Pearson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366426355
PECOS PAC ID: 9133015050
Enrollment ID: I20040226000315
Provider NameJennifer D Gholson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174588834
PECOS PAC ID: 2567487309
Enrollment ID: I20051011000177
Provider NameKatrina Nichelle Poe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245290386
PECOS PAC ID: 2163428780
Enrollment ID: I20061004000508
Provider NameRobert K Collins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124003785
PECOS PAC ID: 6608944830
Enrollment ID: I20081001000374
Provider NameMichael S Mabry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447234489
PECOS PAC ID: 4981772019
Enrollment ID: I20081002000514
Provider NameSheila W Crowley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407830433
PECOS PAC ID: 4688742729
Enrollment ID: I20081002000527
Provider NameEmily M Sesser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295042919
PECOS PAC ID: 5395931067
Enrollment ID: I20101119000628
Provider NameRobert Ryan Looney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568807196
PECOS PAC ID: 8628203015
Enrollment ID: I20160526000549
Provider NameKennieth C Mccollough
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1720243421
PECOS PAC ID: 9830369289
Enrollment ID: I20220715001468

Reviews and Comments


Clinic/Center in Mississippi State, MS


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.