| Crossroads Family Medicine | |
|
702 Woodland Dr Winona MS 38967-1530 | |
| (662) 283-8205 | |
| (662) 283-6747 |
| Full Name | Crossroads Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 702 Woodland Dr, Winona, Mississippi |
| Authorized Official Name and Position | Memorie Lyons (CLINIC DIRECTOR) |
| Authorized Official Contact | 6622836119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Family Medicine 702 Woodland Dr Winona MS 38967-1530 Ph: (662) 283-8205 | Crossroads Family Medicine 702 Woodland Dr Winona MS 38967-1530 Ph: (662) 283-8205 |
| NPI Number | 1730367459 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 0345142618 |
|---|---|
| Medicare Enrollment ID | O20190222000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730367459 | NPI | - | NPPES |
| 008203508 | Medicaid | MS | |
| 2070889 | Other | MS | WELLCARE |
| 8009711 | Medicaid | MS | |
| 005330334 | Medicaid | MS | |
| 007870552 | Medicaid | MS | |
| 1497164446 | Other | MS | NPI |
| 1730367459 | Other | MS | NPI |
| 1730550419 | Other | MS | NPI |
| 200007660 | Medicaid | MS | |
| 2163489 | Other | MS | WELLCARE |
| 08203508 | Medicaid | MS | |
| 1659550127 | Other | MS | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Ontrak Medical Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Summit St, Winona, MS 38967 Phone: 662-417-8278 | |
Brown's Telehealth Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Montgomery St, Winona, MS 38967 Phone: 662-392-1249 | |
Ummc Grenada Specialty Clinic- Winona Family Medical Clinic Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418b N Applegate St, Winona, MS 38967 Phone: 662-283-4433 | |
Hospitalmd Of Winona, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Tyler Holmes Dr, Winona, MS 38967 Phone: 662-283-4114 |