| Bounds Family Medical | |
|
821 Main St Fayette MS 39069-5695 | |
| (601) 809-0882 | |
| (601) 809-0883 |
| Full Name | Bounds Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 821 Main St, Fayette, Mississippi |
| Authorized Official Name and Position | Lisa Halford (COORDINATOR) |
| Authorized Official Contact | 6018079550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bounds Family Medical Po Box 91 Fayette MS 39069-0091 Ph: (601) 809-0882 | Bounds Family Medical 821 Main St Fayette MS 39069-5695 Ph: (601) 809-0882 |
| NPI Number | 1831656354 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 2163761131 |
|---|---|
| Medicare Enrollment ID | O20190308002434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831656354 | NPI | - | NPPES |
| 07583381 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew K Bounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295273670 PECOS PAC ID: 5395093975 Enrollment ID: I20180731000508 |
| Provider Name | Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750872701 PECOS PAC ID: 9234470923 Enrollment ID: I20190405001775 |
Anazia Medical Ii, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1264 Main Street, Suite A, Fayette, MS 39069 Phone: 601-786-0390 Fax: 601-786-0730 | |
Bounds Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main St Ste A, Fayette, MS 39069 Phone: 601-809-0882 Fax: 601-809-0883 | |
Prime Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Community Dr, Fayette, MS 39069 Phone: 601-786-8655 Fax: 601-786-8656 | |
Emergency Room Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main Street, Fayette, MS 39069 Phone: 601-786-3401 Fax: 601-786-3400 | |
Healsafe Wound Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1770 Highway 33, Fayette, MS 39069 Phone: 601-431-6040 | |
Jefferson Comprehensive Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 468 Highway 33, Fayette, MS 39069 Phone: 601-786-3475 Fax: 601-786-9980 | |
Jefferson County Hospital Er Physician Claims Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main Street, Fayette, MS 39069 Phone: 601-786-3401 Fax: 601-786-3400 |