Bmc Leake Madden Primary Care is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Madden, Mississippi. The current practice location for Bmc Leake Madden Primary Care is 242 Thaggard Rd, Madden, Mississippi. For appointments, you can reach them via phone at
(601) 267-1320. The mailing address for Bmc Leake Madden Primary Care is 350 N Humphreys Blvd, Memphis, Tennessee and phone number is (601) 267-1320.
Bmc Leake Madden Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1649546342. 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) 267-1320.
Primary Care Clinic Profile
| Full Name | Bmc Leake Madden Primary Care |
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| Speciality | Clinic/Center |
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| Location | 242 Thaggard Rd, Madden, Mississippi |
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| Authorized Official Name and Position | Gregory M Duckett (SR VP/CLO) |
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| Authorized Official Contact | 9012275233 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bmc Leake Madden Primary Care
350 N Humphreys Blvd
Memphis
TN 38120-2177
Ph: (601) 267-1320 | Bmc Leake Madden Primary Care
242 Thaggard Rd
Madden
MS 39109
Ph: (601) 267-1320 |
NPI Details:
| NPI Number | 1649546342 |
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| Provider Enumeration Date | 03/27/2012 |
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| Last Update Date | 09/30/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7214102961 |
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| Medicare Enrollment ID | O20140225001687 |
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Medical Identifiers
Medical identifiers for Bmc Leake Madden Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649546342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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