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

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Sumrall, Mississippi. The current practice location for is 1039 Highway 42 Ste C, Sumrall, Mississippi. For appointments, you can reach them via phone at (601) 765-6711. The mailing address for is 701 S Holly Ave, Collins, Mississippi and phone number is (601) 765-6711.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1659995538. 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) 765-6711.

Contact Information


	1039 Highway 42 Ste C Sumrall MS 39482-4478
	(601) 765-6711
	(601) 698-0112

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1039 Highway 42 Ste C, Sumrall, Mississippi
Authorized Official Name and Position	Anissa L Evans (CREDENTIALING DIRECTOR)
Authorized Official Contact	6016980328
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
701 S Holly Ave Collins MS 39428-3894 Ph: (601) 765-6711	1039 Highway 42 Ste C Sumrall MS 39482-4478 Ph: (601) 765-6711

NPI Details:

NPI Number	1659995538
Provider Enumeration Date	06/05/2020
Last Update Date	07/28/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4183517253
Medicare Enrollment ID	O20200717000509

Medical Identifiers

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

Identifier	Type	State	Issuer
1659995538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Sumrall, MS

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- Medicare Primary Care in Sumrall, MS