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

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Philadelphia, Mississippi. The current practice location for is 1056 Holland Ave, Philadelphia, Mississippi. For appointments, you can reach them via phone at (601) 656-8545. The mailing address for is 2124 14th St, Meridian, Mississippi and phone number is (601) 703-3480.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053750125. 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 (601) 656-8545.

Contact Information


	1056 Holland Ave Philadelphia MS 39350-9121
	(601) 656-8545
	(601) 656-3985

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1056 Holland Ave, Philadelphia, Mississippi
Authorized Official Name and Position	Gregory M Duckett (SR VP / CLO)
Authorized Official Contact	9012275233
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2124 14th St Meridian MS 39301-4040 Ph: (601) 703-3480	1056 Holland Ave Philadelphia MS 39350-9121 Ph: (601) 656-8545

NPI Details:

NPI Number	1053750125
Provider Enumeration Date	06/21/2013
Last Update Date	08/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4284548025
Medicare Enrollment ID	O20130823000675

Medical Identifiers

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

Identifier	Type	State	Issuer
1053750125	NPI	-	NPPES
09014742	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Philadelphia, MS

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- Medicare Primary Care in Philadelphia, MS