Premier Foot Clinic Pc | |
705 Highway 80 W, Clinton, MS 39056-4103 | |
(601) 926-1500 | |
(601) 926-1502 |
Full Name | Premier Foot Clinic Pc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 705 Highway 80 W, Clinton, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790840080 | NPI | - | NPPES |
06981282 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 80151 (Mississippi) | Primary |
Provider Name | Stefanie M Thomas |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1497864698 PECOS PAC ID: 9335131739 Enrollment ID: I20040405000417 |
Provider Name | Kenneth Anthony Farrish |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922032028 PECOS PAC ID: 1456392703 Enrollment ID: I20050517000424 |
Provider Name | Timothy Adams |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1427082726 PECOS PAC ID: 2062417116 Enrollment ID: I20060922000286 |
Provider Name | William Alexander Carter |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487140521 PECOS PAC ID: 4385035823 Enrollment ID: I20211217000250 |
Mailing Address | Practice Location Address |
---|---|
Premier Foot Clinic Pc 705 Highway 80 W, Clinton, MS 39056-4103 Ph: (601) 926-1500 | Premier Foot Clinic Pc 705 Highway 80 W, Clinton, MS 39056-4103 Ph: (601) 926-1500 |
Stefanie Monique Thomas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 705 Hwy 80 West, Clinton, MS 39056 Phone: 601-926-1500 Fax: 601-926-1502 | |
Dr. Kenneth Farrish, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 705 Highway 80 W, Clinton, MS 39056 Phone: 601-587-1367 Fax: 601-373-2879 |