| David M. Headley, M.d. Pa | |
|
405 Market St Port Gibson MS 39150-2024 | |
| (601) 437-3323 | |
| (601) 437-8499 |
| Full Name | David M. Headley, M.d. Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Market St, Port Gibson, Mississippi |
| Authorized Official Name and Position | Jezelle L Headley (OFFICE MANAGER) |
| Authorized Official Contact | 6014373323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Headley, M.d. Pa Po Box 676 Port Gibson MS 39150-0676 Ph: (601) 437-3323 | David M. Headley, M.d. Pa 405 Market St Port Gibson MS 39150-2024 Ph: (601) 437-3323 |
| NPI Number | 1578627782 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 10/15/2008 |
| Medicare PECOS PAC ID | 6002816568 |
|---|---|
| Medicare Enrollment ID | O20070105000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578627782 | NPI | - | NPPES |
| DN3465 | Other | RAILROAD MEDICARE | |
| 09015175 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09133 (Mississippi) | Primary |
| Provider Name | David M Headley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528032406 PECOS PAC ID: 8729088281 Enrollment ID: I20110408000130 |
| Provider Name | Clare Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447037965 PECOS PAC ID: 1951562529 Enrollment ID: I20240425003535 |
Claiborne County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-3782 | |
Claiborne County School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Ramsey Dr, Port Gibson, MS 39150 Phone: 601-437-4251 | |
Claiborne County Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2045 Highway 61 North, Port Gibson, MS 39150 Phone: 601-437-3049 Fax: 601-437-3051 | |
Claiborne County Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 880 Anthony St, 2045 Highway 61 North, Port Gibson, MS 39150 Phone: 601-437-0257 Fax: 601-437-3944 | |
Claiborne County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-5130 | |
Family Wellness Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703b Farmer St, Port Gibson, MS 39150 Phone: 601-437-5668 Fax: 601-437-4533 | |
Patients Choice Medical Center Of Claiborne County Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-3782 |