Amory Specialty Clinic - Medicare Primary Care in Amory, MS

Amory Specialty Clinic is a medicare enrolled primary clinic (Internal Medicine) in Amory, Mississippi. The current practice location for Amory Specialty Clinic is 1107 Earl Frye Blvd Ste 6, Amory, Mississippi. For appointments, you can reach them via phone at (662) 256-9327. The mailing address for Amory Specialty Clinic is 808 Varsity Dr, Tupelo, Mississippi and phone number is () -.

Amory Specialty Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225502370. 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) 256-9327.

Contact Information

Amory Specialty Clinic
1107 Earl Frye Blvd Ste 6
Amory
MS 38821-5519
(662) 256-9327
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAmory Specialty Clinic
SpecialityInternal Medicine
Location1107 Earl Frye Blvd Ste 6, Amory, Mississippi
Authorized Official Name and PositionBruce Toppin (SECRETARY)
Authorized Official Contact6623774229
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amory Specialty Clinic
808 Varsity Dr
Tupelo
MS 38801-4613

Ph: () -
Amory Specialty Clinic
1107 Earl Frye Blvd Ste 6
Amory
MS 38821-5519

Ph: (662) 256-9327

NPI Details:

NPI Number1225502370
Provider Enumeration Date01/11/2019
Last Update Date01/31/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2961745195
Medicare Enrollment IDO20190510000063

Medical Identifiers

Medical identifiers for Amory Specialty Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225502370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Amory Specialty Clinic acts as a billing entity for following providers:
Provider NameWilliam Mc Comb
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043235047
PECOS PAC ID: 7911977095
Enrollment ID: I20040727001088
Provider NameMichael Joseph Boland
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104867936
PECOS PAC ID: 4284602905
Enrollment ID: I20040921000576
Provider NameGerald L Parker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780690842
PECOS PAC ID: 1052328432
Enrollment ID: I20060309000227
Provider NameTeresa Stanford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245246099
PECOS PAC ID: 7911914338
Enrollment ID: I20060309000521
Provider NameZhear Al-godi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447379300
PECOS PAC ID: 2769582436
Enrollment ID: I20070710000790
Provider NameKeicia T Lynn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548578719
PECOS PAC ID: 9133316870
Enrollment ID: I20101208000039
Provider NameTimothy B Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992802367
PECOS PAC ID: 5193993806
Enrollment ID: I20110725000584
Provider NameSharla E Saylors
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518231067
PECOS PAC ID: 1658531553
Enrollment ID: I20120330000395
Provider NameSusan M Hines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942255260
PECOS PAC ID: 9234217407
Enrollment ID: I20130723000871
Provider NameBenjamin Thomas Boatright
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1417110982
PECOS PAC ID: 3779700026
Enrollment ID: I20140808001807
Provider NameBrenda Elain Worthey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740651819
PECOS PAC ID: 0840570131
Enrollment ID: I20161202000265
Provider NameKirk A Caddell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1952690224
PECOS PAC ID: 4385862416
Enrollment ID: I20170222002410
Provider NameLinda Garrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679021588
PECOS PAC ID: 8628342110
Enrollment ID: I20170921003193
Provider NameLacy Diane Estes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275148967
PECOS PAC ID: 5092133199
Enrollment ID: I20200921003168
Provider NameMarlana Lee Mcfarland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730796376
PECOS PAC ID: 3971910076
Enrollment ID: I20210407000381
Provider NameLori Harris Conn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750955282
PECOS PAC ID: 8325430358
Enrollment ID: I20220124002470
Provider NameAkira Keyana Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972110963
PECOS PAC ID: 6002208915
Enrollment ID: I20220126000497
Provider NameAmanda Jeanette Hulsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447922364
PECOS PAC ID: 0749673580
Enrollment ID: I20220131001582
Provider NameBrent Lee Hallmark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093313397
PECOS PAC ID: 0446643308
Enrollment ID: I20220217000989
Provider NameDanielle Diane Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326768854
PECOS PAC ID: 7113303801
Enrollment ID: I20221004001004
Provider NameEthan W Collier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598389702
PECOS PAC ID: 7810312329
Enrollment ID: I20230905002135

Reviews and Comments


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Phone: 662-256-3564    Fax: 662-256-3996
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Phone: 662-256-3120    Fax: 662-256-7092

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.