<unavail> in Tupelo, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Tupelo, Mississippi. The current practice location for is 499 Gloster Creek Vlg, Suite D-1, Tupelo, Mississippi. For appointments, you can reach them via phone at (662) 690-8007. The mailing address for is 499 Gloster Creek Vlg, Suite D-1, Tupelo, Mississippi and phone number is (662) 690-8007.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194991976. 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 (662) 690-8007.

Contact Information


	499 Gloster Creek Vlg Suite D-1 Tupelo MS 38801-4600
	(662) 690-8007
	(662) 842-4653

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	499 Gloster Creek Vlg, Tupelo, Mississippi
Authorized Official Name and Position	Marilyn Sumerford (EXECUTIVE DIRECTOR)
Authorized Official Contact	6626514686
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
499 Gloster Creek Vlg Suite D-1 Tupelo MS 38801-4600 Ph: (662) 690-8007	499 Gloster Creek Vlg Suite D-1 Tupelo MS 38801-4600 Ph: (662) 690-8007

NPI Details:

NPI Number	1194991976
Provider Enumeration Date	05/01/2008
Last Update Date	08/09/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	4082509492
Medicare Enrollment ID	O20080620000338

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194991976	NPI	-	NPPES
DB3359	Other	MS	RAILROAD MEDICARE PTAN
05935316	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Tupelo, MS

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040a S. Madison St, Tupelo, MS 38801 Phone: 662-377-5290 Fax: 662-377-5291
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2755
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801 Phone: 662-377-5700 Fax: 662-377-5720
Pontotoc Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-2386 Fax: 662-377-2057
Grant Family Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Varsity Dr, Tupelo, MS 38801 Phone: 484-252-6707
North Mississippi Medical Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Varsity Dr, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2057
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St Fl 4, Tupelo, MS 38801 Phone: 662-377-2395 Fax: 662-377-2397

- Medicare Primary Care in Tupelo, MS