Choctaw Medical Clinic Of Ackerman - Medicare Primary Care in Ackerman, MS

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Choctaw Medical Clinic Of Ackerman is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Ackerman, Mississippi. The current practice location for Choctaw Medical Clinic Of Ackerman is 64 N Louisville St, Ackerman, Mississippi. For appointments, you can reach them via phone at (662) 285-9050. The mailing address for Choctaw Medical Clinic Of Ackerman is 8613 Ms Highway 12, Ackerman, Mississippi and phone number is (662) 285-9460.

Choctaw Medical Clinic Of Ackerman is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235547878. 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) 285-9050.

Contact Information

Choctaw Medical Clinic Of Ackerman
64 N Louisville St
Ackerman
MS 39735-9217
(662) 285-9050
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameChoctaw Medical Clinic Of Ackerman
SpecialityClinic/Center
Location64 N Louisville St, Ackerman, Mississippi
Authorized Official Name and PositionSusan Hollingsworth Wells (ADMINISTRATOR)
Authorized Official Contact6622859460
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Choctaw Medical Clinic Of Ackerman
8613 Ms Highway 12
Ackerman
MS 39735-8917

Ph: (662) 285-9460		Choctaw Medical Clinic Of Ackerman
64 N Louisville St
Ackerman
MS 39735-9217

Ph: (662) 285-9050

NPI Details:

NPI Number1235547878
Provider Enumeration Date07/28/2014
Last Update Date04/20/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2567682206
Medicare Enrollment IDO20141215002502

Medical Identifiers

Medical identifiers for Choctaw Medical Clinic Of Ackerman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235547878NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (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. Choctaw Medical Clinic Of Ackerman acts as a billing entity for following providers:
Provider NameDeborah M Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831105451
PECOS PAC ID: 2365436375
Enrollment ID: I20040413000527
Provider NameCherryl Avent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942258322
PECOS PAC ID: 2466447701
Enrollment ID: I20040416001025
Provider NameWilliam C Henson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437198454
PECOS PAC ID: 8325037617
Enrollment ID: I20040511001035
Provider NameEdward L Giaroli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831131671
PECOS PAC ID: 5890693220
Enrollment ID: I20040730000723
Provider NameJeffrey Carlton Howard
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821037177
PECOS PAC ID: 6901871151
Enrollment ID: I20040831000798
Provider NameRichard K Cole
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982646725
PECOS PAC ID: 8628034246
Enrollment ID: I20041206000859
Provider NameRichard Michael Arriola
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1639111479
PECOS PAC ID: 2567428196
Enrollment ID: I20041206000921
Provider NameVernon W Barrow
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548202385
PECOS PAC ID: 1153382411
Enrollment ID: I20041206000970
Provider NameRobert Conrad Becker
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033157672
PECOS PAC ID: 0345201604
Enrollment ID: I20041206001014
Provider NameMarshall Gray Edmondson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720026255
PECOS PAC ID: 5991766248
Enrollment ID: I20041207001069
Provider NamePhyllis Elaine Mason
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881636645
PECOS PAC ID: 6507822640
Enrollment ID: I20041209000615
Provider NameMark V Johnson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740222587
PECOS PAC ID: 6709847056
Enrollment ID: I20041209000656
Provider NameEvan J Pickus
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073545554
PECOS PAC ID: 3375501471
Enrollment ID: I20041221000439
Provider NameMark Ellis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598791535
PECOS PAC ID: 4385698588
Enrollment ID: I20050310000472
Provider NameJan Sullivan Randle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184675134
PECOS PAC ID: 8820045370
Enrollment ID: I20050406000664
Provider NameShunda L Garner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124017546
PECOS PAC ID: 2769487321
Enrollment ID: I20061003000649
Provider NameCynthia Harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346337920
PECOS PAC ID: 4486757184
Enrollment ID: I20070319000330
Provider NameHarmon S Prosser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073578886
PECOS PAC ID: 8921107384
Enrollment ID: I20070626000210
Provider NameSamuel K Suttle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497705453
PECOS PAC ID: 8022012475
Enrollment ID: I20091207000030
Provider NameMary L Moss
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649286600
PECOS PAC ID: 9436289998
Enrollment ID: I20100609000479
Provider NameValerie O Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598716573
PECOS PAC ID: 8628192713
Enrollment ID: I20100826000048
Provider NameJames Glenn Peters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114912680
PECOS PAC ID: 2668476011
Enrollment ID: I20100908000009
Provider NameDiane R Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265587216
PECOS PAC ID: 5092862615
Enrollment ID: I20140412000042
Provider NameShannon Dobbs
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295099455
PECOS PAC ID: 5395966121
Enrollment ID: I20141021000806
Provider NameYoshie S Lilley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528475217
PECOS PAC ID: 7911222047
Enrollment ID: I20150213000346
Provider NamePamela D Metts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851781611
PECOS PAC ID: 0042536930
Enrollment ID: I20150312001128
Provider NameWilliam R Johnson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245469576
PECOS PAC ID: 0244462430
Enrollment ID: I20150522002274
Provider NameJohn Roberts
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417110990
PECOS PAC ID: 9032340062
Enrollment ID: I20150601001284
Provider NameRushaunda L Nash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548643380
PECOS PAC ID: 6709191745
Enrollment ID: I20150819008459
Provider NameRobert Aubrey Duke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649220120
PECOS PAC ID: 6709801228
Enrollment ID: I20160315001799
Provider NameSandy Lieu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952716573
PECOS PAC ID: 8325346653
Enrollment ID: I20160419002584
Provider NameJessica A Lauderdale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093095523
PECOS PAC ID: 4082901228
Enrollment ID: I20170111000566
Provider NameKelvin Knowles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265982417
PECOS PAC ID: 9133406283
Enrollment ID: I20170427002101
Provider NameKeith Russell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326335886
PECOS PAC ID: 6709106958
Enrollment ID: I20170524000494
Provider NameKeith R Andrews
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144515719
PECOS PAC ID: 9638469323
Enrollment ID: I20170721000333
Provider NameJoanna Sadowska
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396050381
PECOS PAC ID: 1850662107
Enrollment ID: I20170803003430
Provider NameStephanie W Hubbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871003988
PECOS PAC ID: 8325308778
Enrollment ID: I20180205001320
Provider NameCasey D Fleming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598263709
PECOS PAC ID: 2961763974
Enrollment ID: I20180307000971
Provider NameKristin L Mitchell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659721736
PECOS PAC ID: 0244525103
Enrollment ID: I20180524001736
Provider NameJason Brian Copeland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326538315
PECOS PAC ID: 6901157874
Enrollment ID: I20180918000176
Provider NameSarah Deraney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790077113
PECOS PAC ID: 0446562946
Enrollment ID: I20180928000457
Provider NameBrittany D. Dickerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760959027
PECOS PAC ID: 0840535845
Enrollment ID: I20181219002443
Provider NameAmanda Beth Johnson
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1942511456
PECOS PAC ID: 3779701669
Enrollment ID: I20190405000846
Provider NameMitchell C Moffett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881115707
PECOS PAC ID: 9032481635
Enrollment ID: I20190830001710
Provider NameBrianna D Lundy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972085850
PECOS PAC ID: 3274965330
Enrollment ID: I20191112002265
Provider NameMegan P Hubbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154981470
PECOS PAC ID: 9830522986
Enrollment ID: I20191204001875
Provider NameShelby B Reeves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851905137
PECOS PAC ID: 7113347352
Enrollment ID: I20201008003667
Provider NameDaniel Seung Han
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952712812
PECOS PAC ID: 5092932343
Enrollment ID: I20210512002202
Provider NameEbony S Woodson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942817838
PECOS PAC ID: 2466851373
Enrollment ID: I20210526001496
Provider NameJesse James Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124695739
PECOS PAC ID: 8527461821
Enrollment ID: I20210723002599
Provider NameMary Hannah Bucklew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467024901
PECOS PAC ID: 0446657340
Enrollment ID: I20210920002337
Provider NameJoni P Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538830559
PECOS PAC ID: 3577958768
Enrollment ID: I20220325001179
Provider NameFalan Nichole Mcknight
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073173514
PECOS PAC ID: 3375879133
Enrollment ID: I20220513001843
Provider NameKimberly L Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770221640
PECOS PAC ID: 5890168579
Enrollment ID: I20230228000515
Provider NameHannah Bowman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780278739
PECOS PAC ID: 3173996808
Enrollment ID: I20230228002898
Provider NameBarbara M Ezell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649058207
PECOS PAC ID: 2769838002
Enrollment ID: I20231024000363
Provider NameTineka Odessa Gladney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568247658
PECOS PAC ID: 9638512494
Enrollment ID: I20240208001548

Reviews and Comments


Clinic/Center in Ackerman, MS

Choctaw Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 8613 Ms Highway 12, Ackerman, MS 39735
Phone: 662-285-4400    
Parsons Family Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 356 E Cherry St, Ackerman, MS 39735
Phone: 662-285-3243    Fax: 662-285-3613
Pioneer Family Medical Of Ackerman
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 64 N Louisville St, Ackerman, MS 39735
Phone: 662-285-9050    
Blissful Nursing And Mental Health Service
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8900ms Highway 15, Ackerman, MS 39735
Phone: 662-387-7167    
Choctaw Medical Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 119 West Cherry Street, Ackerman, MS 39735
Phone: 601-849-1682    Fax: 601-849-1969
Pioneer Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8613 Ms Highway 12, Ackerman, MS 39735
Phone: 601-849-6440    Fax: 601-849-1318

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.