Clinton Family Care Llc | |
309a Morrison Dr Clinton MS 39056-5239 | |
(601) 924-1877 | |
(601) 924-1871 |
Full Name | Clinton Family Care Llc |
---|---|
Speciality | Family Medicine |
Location | 309a Morrison Dr, Clinton, Mississippi |
Authorized Official Name and Position | David Brice Wheat (PROPRIETOR) |
Authorized Official Contact | 6019241877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clinton Family Care Llc 309a Morrison Dr Clinton MS 39056-5239 Ph: (601) 924-1877 | Clinton Family Care Llc 309a Morrison Dr Clinton MS 39056-5239 Ph: (601) 924-1877 |
NPI Number | 1396811527 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 02/18/2009 |
Medicare PECOS PAC ID | 3870539265 |
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Medicare Enrollment ID | O20050707000656 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396811527 | NPI | - | NPPES |
0114637 | Medicaid | MS | |
P00250596 GRP DD7799 | Other | MS | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 09202 (Mississippi) | Primary |
Provider Name | David B Wheat |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487697561 PECOS PAC ID: 0840236238 Enrollment ID: I20050711000593 |
Careplus Clinton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Highway 80 E, Clinton, MS 39056 Phone: 601-924-7994 Fax: 601-924-7671 | |
Baptist Medical Clinic - Clinton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Clinton Parkway, Clinton, MS 39056 Phone: 601-924-9005 Fax: 601-925-9463 | |
Clinton Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Highway 80 E, Suite D, Clinton, MS 39056 Phone: 318-791-3765 Fax: 877-747-5326 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Highway 80 E, Clinton, MS 39056 Phone: 601-924-4000 | |
Lakeview Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Lakeview Dr, Clinton, MS 39056 Phone: 601-924-1744 Fax: 601-924-7406 | |
Jackson Eye Associates, Clinton Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Clinton Pkwy, Third Floor, Clinton, MS 39056 Phone: 601-924-9750 Fax: 601-925-9125 | |
Retail Clinic - Clinton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Highway 80 E, Clinton, MS 39056 Phone: 601-200-2000 Fax: 601-200-5929 |