LARRY KEITH VUNCANNON
NPI 1609913466
Specialist in Iuka, MS

NPI Status: Active since January 31, 2007

Contact Information

503 CONSTITUTION DR
IUKA, MS
ZIP 38852
Phone: (662) 424-9500
Fax: (662) 424-9592

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  • Individual
  • Male
  • Years of Experience 35
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About LARRY VUNCANNON

This page provides the complete NPI Profile along with additional information for Larry Vuncannon, a provider established in Iuka, Mississippi with a medical specialization in Specialist and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1609913466 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number PT1052 (MS). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1609913466
Provider Name
LARRY KEITH VUNCANNON
Gender
Male
Entity Type
Individual
Location Address
503 CONSTITUTION DR IUKA, MS 38852
Location Phone
(662) 424-9500
Location Fax
(662) 424-9592
Mailing Address
503 CONSTITUTION DR IUKA, MS 38852
Mailing Phone
(662) 424-9500
Mailing Fax
(662) 424-9592
Medical School Name
OTHER
Graduation Year
1991
Is Sole Proprietor?
Yes
Enumeration Date
01-31-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
PT1052
License State
MS
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00119836MEDICAID (05)MS 
S69362MEDICARE UPIN (02)MS 

Medicare Participation & PECOS Enrollment Status

Larry Vuncannon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8527128776

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20081118000857

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for physical therapy, typically 20 minutes

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

This service was performed 14 times for 14 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 523 times for 23 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 562 times for 23 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 203 times for 11 patients

Reviews for LARRY KEITH VUNCANNON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609913466
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091816412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 1 + 6 + 4 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1609913466 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215074984CARING HANDS REHAB INC
Organization
Clinic/Center (Physical Therapy)503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1063559755KEITH VUNCANNON & BRAD STEPHENSON PTRS CARING HANDS REHAB
Organization
Clinic/Center (Physical Therapy)503 CONSTITUTION DR
IUKA, MS 38852
(662) 720-7050
1144367806 VALERIE VERNICE SIMS
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1265579890 MARCIA LYNN WASHINGTON
Individual
Occupational Therapist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1598802159 RHONDA VAUGHT MITCHELL
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1396882965 KELLEY DAVIS ADAY
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1801933478 ANTHONY CRAIG COGHLAN
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1609913276 NELSON JACKSON FULLER III
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1770620353 CHAD EVERETT FISHER
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1548307127 SHARON G. ROLISON
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1801933494 DAVID MICHAEL PRYCE-JONES
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1861539462 CATHERINE ASTON SPAIN
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1467599076 LORI ANN ROBINSON
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1568500932 TUNESHA IJUAN BANKS
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1376681742 HOPE ROSS JOHNSON
Individual
Specialist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1740328558 THERESA L. HELLEN
Individual
Speech-Language Pathologist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1477691228 SHONDA HOUSER
Individual
Occupational Therapist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1326186123 CHASITY H. GEORGE
Individual
Occupational Therapy Assistant503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1730227539 KRISTEN NOELLE WILLIAMS
Individual
Speech-Language Pathologist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500
1245378058 MARY JEAN CASH
Individual
Speech-Language Pathologist503 CONSTITUTION DR
IUKA, MS 38852
(662) 424-9500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609913466, enumerated in the NPI registry as an "individual" on January 31, 2007

The provider is located at 503 Constitution Dr Iuka, Ms 38852 and the phone number is (662) 424-9500

The provider's speciality is Specialist with taxonomy code 174400000X

The provider has more than 35 years of experience.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Evaluation for physical therapy, typically 20 minutes, Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes and Therapy procedure using manual technique, each 15 minutes.

This NPI record was last updated on January 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.