Prentiss Primary Care, P.a. in Prentiss, MS - Medicare Internal Medicine

Prentiss Primary Care, P.a. is a medicare enrolled primary clinic (Internal Medicine) in Prentiss, Mississippi. The current practice location for Prentiss Primary Care, P.a. is 959 Hwy 42, Prentiss, Mississippi. For appointments, you can reach them via phone at (601) 792-3200. The mailing address for Prentiss Primary Care, P.a. is Po Box 1373, Prentiss, Mississippi and phone number is (601) 792-3200.

Prentiss Primary Care, P.a. is licensed to practice in Mississippi (license number 15442). The clinic also participates in the medicare program and its NPI number is 1902129455. 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 (601) 792-3200.

Contact Information

	Prentiss Primary Care, P.a.
	959 Hwy 42 Prentiss MS 39474-1373
	(601) 792-3200
	(601) 792-3299

Map and Direction

Primary Care Clinic Profile

Full Name	Prentiss Primary Care, P.a.
Speciality	Internal Medicine
Location	959 Hwy 42, Prentiss, Mississippi
Authorized Official Name and Position	Jaishankar Jagadeesan (PRESIDENT)
Authorized Official Contact	6017923200
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Prentiss Primary Care, P.a. Po Box 1373 Prentiss MS 39474-1373 Ph: (601) 792-3200	Prentiss Primary Care, P.a. 959 Hwy 42 Prentiss MS 39474-1373 Ph: (601) 792-3200

NPI Details:

NPI Number	1902129455
Provider Enumeration Date	03/11/2010
Last Update Date	03/11/2010

Medicare PECOS Information:

Medicare PECOS PAC ID	5799969465
Medicare Enrollment ID	O20110405000824

Medical Identifiers

Medical identifiers for Prentiss Primary Care, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902129455	NPI	-	NPPES
09016230	Medicaid	MS
00118344	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	15442 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prentiss Primary Care, P.a. acts as a billing entity for following providers:

Provider Name	Jaishankar Jagadeesan
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1326149253 PECOS PAC ID: 9638353394 Enrollment ID: I20110405000768

Reviews and Comments

Internal Medicine in Prentiss, MS

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Prentiss Regional Hospital And Extended Care Facility, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Berry Street, Prentiss, MS 39474 Phone: 601-792-8432 Fax: 601-792-8453
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 Second Street, Prentiss, MS 39474 Phone: 601-792-2078 Fax: 601-792-8211
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 Rose Street, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 J E Johnson Rd, Prentiss, MS 39474 Phone: 601-825-7280 Fax: 601-825-8130
Forrest County General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1014 Rose St, Suite A, Prentiss, MS 39474 Phone: 601-792-2202 Fax: 601-792-2345
Ware Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 972 Columbia Ave, Prentiss, MS 39474 Phone: 601-792-5343

Prentiss Primary Care, P.a. - Medicare Primary Care in Prentiss, MS