Mission Primary Care Clinic Pllc - Medicare Primary Care in Vicksburg, MS

Mission Primary Care Clinic Pllc is a medicare enrolled primary clinic (Family Medicine) in Vicksburg, Mississippi. The current practice location for Mission Primary Care Clinic Pllc is 1901 Mission 66, Vicksburg, Mississippi. For appointments, you can reach them via phone at (601) 636-0097. The mailing address for Mission Primary Care Clinic Pllc is 1901 Mission 66, Vicksburg, Mississippi and phone number is (601) 636-0097.

Mission Primary Care Clinic Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487852018. 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) 636-0097.

Contact Information

Mission Primary Care Clinic Pllc
1901 Mission 66
Vicksburg
MS 39180-3711
(601) 636-0097
(601) 629-9969

Primary Care Clinic Profile

Full NameMission Primary Care Clinic Pllc
SpecialityFamily Medicine
Location1901 Mission 66, Vicksburg, Mississippi
Authorized Official Name and PositionBill Fulcher (ADM)
Authorized Official Contact6016360097
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mission Primary Care Clinic Pllc
1901 Mission 66
Vicksburg
MS 39180-3711

Ph: (601) 636-0097
Mission Primary Care Clinic Pllc
1901 Mission 66
Vicksburg
MS 39180-3711

Ph: (601) 636-0097

NPI Details:

NPI Number1487852018
Provider Enumeration Date07/05/2007
Last Update Date05/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5890764914
Medicare Enrollment IDO20040927000415

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Medical Identifiers

Medical identifiers for Mission Primary Care Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487852018NPI-NPPES
04935090MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363LF0000XNurse Practitioner - Family R829001 (Mississippi)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mission Primary Care Clinic Pllc acts as a billing entity for following providers:
Provider NameDenesia Yvonne Giffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568490241
PECOS PAC ID: 6507832318
Enrollment ID: I20040902001248

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Provider NameJohn R Barnes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205865680
PECOS PAC ID: 1355302696
Enrollment ID: I20041021000722

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Provider NameJoseph L Wilson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568560530
PECOS PAC ID: 9537183439
Enrollment ID: I20060123000424

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Provider NameRobert Lee Giffin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376584052
PECOS PAC ID: 3870560626
Enrollment ID: I20110215000188

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Provider NameSusan A Chiarito
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871534008
PECOS PAC ID: 3678540333
Enrollment ID: I20110301000570

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Provider NameJohn Robert Ford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356363915
PECOS PAC ID: 4486836632
Enrollment ID: I20110309000056

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Researchers at UT Southwestern Medical Center at Dallas are looking for women to participate in the second phase of a study of a new cohesive silicone-gel breast implant.

Male smokers needed for study to investigate new method of improving selenium intake

Around 200 men – including men who smoke – are being sought by researchers in Adelaide, South Australia to take part in a new study aimed at preventing cancer and other health problems.

Researchers suggest significant relationship between cannabis use and mania symptoms

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Read more Medical News

› Verified 1 days ago

News Archive

Masimo Rad-57 Pulse CO-Oximeter helps detect CO poisoning on-the-scene

Masimo, the inventor of Pulse CO-Oximetry™ and Measure-Through Motion and Low Perfusion pulse oximetry, today announced that the U.S. Department of Homeland Security recently issued a Federal warning about the increased risk of carbon monoxide exposure during the winter season—urging heightened awareness and precaution for firefighters, who are at increased risk of duty-related CO danger. The life-threatening consequences of CO poisoning make immediate detection, helped by the noninvasive Masimo Rad-57 Pulse CO-Oximeter, a lifesaving necessity for fire and emergency operations.

Study requires patients for new type of silicone-gel breast implants

Researchers at UT Southwestern Medical Center at Dallas are looking for women to participate in the second phase of a study of a new cohesive silicone-gel breast implant.

Male smokers needed for study to investigate new method of improving selenium intake

Around 200 men – including men who smoke – are being sought by researchers in Adelaide, South Australia to take part in a new study aimed at preventing cancer and other health problems.

Researchers suggest significant relationship between cannabis use and mania symptoms

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› Verified 1 days ago


Family Medicine in Vicksburg, MS

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