<unavail> in Hattiesburg, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Hattiesburg, Mississippi. The current practice location for is 790 Elks Lake Rd, Hattiesburg, Mississippi. For appointments, you can reach them via phone at (601) 545-8700. The mailing address for is Po Box 1729, Hattiesburg, Mississippi and phone number is (601) 545-8700.

is licensed to practice in Mississippi (license number ). The clinic also participates in the medicare program and its NPI number is 1164462610. 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 (601) 545-8700.

Contact Information


	790 Elks Lake Rd Hattiesburg MS 39401-0357
	(601) 545-8700
	(601) 582-5461

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	790 Elks Lake Rd, Hattiesburg, Mississippi
Authorized Official Name and Position	Kaye Ray (CEO)
Authorized Official Contact	6015458700
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700	790 Elks Lake Rd Hattiesburg MS 39401-0357 Ph: (601) 545-8700

NPI Details:

NPI Number	1164462610
Provider Enumeration Date	06/06/2006
Last Update Date	09/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	2466342605
Medicare Enrollment ID	O20050311000472

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164462610	NPI	-	NPPES
04983807	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Mississippi)	Primary

Reviews and Comments

Clinic/Center in Hattiesburg, MS

Legacy Family Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6798 U S Highway 98 Ste 30, Hattiesburg, MS 39402 Phone: 601-596-9053 Fax: 601-336-6615
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4209 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-705-2896 Fax: 601-579-5240
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Jamestown Rd, Hattiesburg, MS 39402 Phone: 601-545-8700 Fax: 601-582-5461
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Inland Family Practice Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Hardy St Ste 10, Hattiesburg, MS 39402 Phone: 601-602-2014 Fax: 601-544-7013
Lincoln Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402 Phone: 601-296-7848 Fax: 601-296-7828
Parkway Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Glendale Ave, Hattiesburg, MS 39401 Phone: 601-582-5805 Fax: 601-582-5806

- Medicare Primary Care in Hattiesburg, MS