One provider matched this Medicaid ID.
Mississippi Medicaid ID 03300361 resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 11803908MS· Issued by CAQH ID NUMBER
- 9493388P02MS· Issued by CIGNA
- 9982123MS· Issued by AETNA
- NEW AUGUSTA -1149002MS· Issued by WINDSOR HEALTH GROUP
Medicaid
- 03300361MS
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20080331000203Family PracticeMS
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.