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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pontotoc, Mississippi. The current practice location for is 1523 S Pontotoc Rd, Pontotoc, Mississippi. For appointments, you can reach them via phone at (662) 489-5941. The mailing address for is Po Box 305, Smithville, Mississippi and phone number is (662) 651-4637.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386136752. 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) 489-5941.

Contact Information


	1523 S Pontotoc Rd Pontotoc MS 38863-9382
	(662) 489-5941
	(662) 489-1757

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1523 S Pontotoc Rd, Pontotoc, Mississippi
Authorized Official Name and Position	Shelia Cowley (DATA & REPORTING MANAGER)
Authorized Official Contact	6626514637
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 305 Smithville MS 38870-0305 Ph: (662) 651-4637	1523 S Pontotoc Rd Pontotoc MS 38863-9382 Ph: (662) 489-5941

NPI Details:

NPI Number	1386136752
Provider Enumeration Date	06/01/2018
Last Update Date	06/16/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	4082509492
Medicare Enrollment ID	O20180716001358

Medical Identifiers

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

Identifier	Type	State	Issuer
1386136752	NPI	-	NPPES

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 Pontotoc, MS

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- Medicare Primary Care in Pontotoc, MS