Gateway Health Services - Medicare Mental Health Clinic in Vicksburg, MS

Gateway Health Services is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Vicksburg, Mississippi. The current practice location for Gateway Health Services is 2705 Clay St, Vicksburg, Mississippi. For appointments, you can reach them via phone at (601) 661-9752. The mailing address for Gateway Health Services is Po Box 820472, Vicksburg, Mississippi and phone number is (601) 661-9752.

Gateway Health Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306362082. 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) 661-9752.

Contact Information

Gateway Health Services
2705 Clay St
Vicksburg
MS 39183-3130
(601) 661-9752
(601) 661-6021

Mental Health Clinic Profile

Full NameGateway Health Services
SpecialityClinic/Center
Location2705 Clay St, Vicksburg, Mississippi
Authorized Official Name and PositionJoyce Blue (ADMINISTRATOR)
Authorized Official Contact6016619752
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gateway Health Services
Po Box 820472
Vicksburg
MS 39182-0472

Ph: (601) 661-9752
Gateway Health Services
2705 Clay St
Vicksburg
MS 39183-3130

Ph: (601) 661-9752

NPI Details:

NPI Number1306362082
Provider Enumeration Date08/15/2017
Last Update Date06/16/2018

Medicare PECOS Information:

Medicare PECOS PAC ID8527325745
Medicare Enrollment IDO20171127000984

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Medical Identifiers

Medical identifiers for Gateway Health Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306362082NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Gateway Health Services acts as a billing entity for following providers:
Provider NameMelissa F Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942256300
PECOS PAC ID: 0143257436
Enrollment ID: I20050719000309

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Provider NameAshley Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861835282
PECOS PAC ID: 8224279526
Enrollment ID: I20140923000111

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Provider NameChristopher A Carson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578986915
PECOS PAC ID: 8426376559
Enrollment ID: I20160708000108

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Provider NameBeverly C Washington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952853731
PECOS PAC ID: 1759666829
Enrollment ID: I20170403000929

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Provider NameKimberly Shatwone Carson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174052773
PECOS PAC ID: 7810288818
Enrollment ID: I20170727002711

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Provider NameLolita Denise Hartley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306305487
PECOS PAC ID: 5496165169
Enrollment ID: I20220201000280

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Clinic/Center in Vicksburg, MS

Warren Yazoo Mental Health Service
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180
Phone: 601-638-0031    Fax: 601-634-0234
The Peace Place Counseling Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Holly St, Vicksburg, MS 39180
Phone: 601-630-3362    Fax: 855-540-0718
Divine Home Care Changes
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 106 Ethel Dr, Vicksburg, MS 39180
Phone: 919-339-1854    
Nulife Healthcare, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 120 Holt Collier Dr Ste C, Vicksburg, MS 39183
Phone: 601-738-5565    Fax: 601-738-5544
Cognitive Development Center Of Mississippi
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1713 Clay St, Vicksburg, MS 39183
Phone: 601-883-1771    Fax: 601-883-1773
Nulife Health Care Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 120 Holt Collier Dr Ste C, Vicksburg, MS 39183
Phone: 601-738-5565    Fax: 601-738-5544

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