| Cycle 8 Health Care, Llc | |
|
2570 Bailey Ave Ste 7 Jackson MS 39213-6905 | |
| (601) 502-3009 | |
| (769) 251-1503 |
| Full Name | Cycle 8 Health Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2570 Bailey Ave Ste 7, Jackson, Mississippi |
| Authorized Official Name and Position | Monique D Pendleton (NURSE PRACTITIONER) |
| Authorized Official Contact | 6015023009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cycle 8 Health Care, Llc 2570 Bailey Ave Ste 7 Jackson MS 39213-6905 Ph: (601) 502-3009 | Cycle 8 Health Care, Llc 2570 Bailey Ave Ste 7 Jackson MS 39213-6905 Ph: (601) 502-3009 |
| NPI Number | 1700449329 |
|---|---|
| Provider Enumeration Date | 04/18/2019 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 0143555474 |
|---|---|
| Medicare Enrollment ID | O20190709002968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700449329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Monique D Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497147318 PECOS PAC ID: 0840593679 Enrollment ID: I20160128000223 |
| Provider Name | Patrecia Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992315212 PECOS PAC ID: 2668892134 Enrollment ID: I20201022000187 |
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