Rlgmdpa Inc - Medicare Primary Care in Vicksburg, MS

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

Rlgmdpa Inc is licensed to practice in Mississippi (license number 09966). The clinic also participates in the medicare program and its NPI number is 1497819726. 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

Rlgmdpa Inc
1901 Mission 66
Vicksburg
MS 39180-3711
(601) 636-0097
(601) 629-9969

Primary Care Clinic Profile

Full NameRlgmdpa Inc
SpecialityFamily Medicine
Location1901 Mission 66, Vicksburg, Mississippi
Authorized Official Name and PositionRobert Lee Giffin (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
Rlgmdpa Inc
1901 Mission 66
Vicksburg
MS 39180-3711

Ph: (601) 636-0097
Rlgmdpa Inc
1901 Mission 66
Vicksburg
MS 39180-3711

Ph: (601) 636-0097

NPI Details:

NPI Number1497819726
Provider Enumeration Date12/21/2006
Last Update Date04/16/2008

Medicare PECOS Information:

Medicare PECOS PAC ID1254308091
Medicare Enrollment IDO20040913000420

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Medical Identifiers

Medical identifiers for Rlgmdpa Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497819726NPI-NPPES
00114253MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 09966 (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. Rlgmdpa Inc acts as a billing entity for following providers:
Provider NameRobert Lee Giffin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376584052
PECOS PAC ID: 3870560626
Enrollment ID: I20110215000188

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