Cch Clinic Family Medical - Medicare Primary Care in Collins, MS

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Cch Clinic Family Medical is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Collins, Mississippi. The current practice location for Cch Clinic Family Medical is 301 Hospital Blvd, Collins, Mississippi. For appointments, you can reach them via phone at (601) 765-3180. The mailing address for Cch Clinic Family Medical is P.o. Box 2499, Collins, Mississippi and phone number is (601) 765-3180.

Cch Clinic Family Medical is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598769044. 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) 765-3180.

Contact Information

Cch Clinic Family Medical
301 Hospital Blvd
Collins
MS 39428-4225
(601) 765-3180
(601) 765-2808

Map and Direction


Primary Care Clinic Profile

Full NameCch Clinic Family Medical
SpecialityClinic/Center
Location301 Hospital Blvd, Collins, Mississippi
Authorized Official Name and PositionAnissa L Evans (CREDENTIALING DIRECTOR)
Authorized Official Contact6016980328
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cch Clinic Family Medical
P.o. Box 2499
Collins
MS 39428-2499

Ph: (601) 765-3180		Cch Clinic Family Medical
301 Hospital Blvd
Collins
MS 39428-4225

Ph: (601) 765-3180

NPI Details:

NPI Number1598769044
Provider Enumeration Date06/10/2005
Last Update Date05/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4183517253
Medicare Enrollment IDO20080722000557

Medical Identifiers

Medical identifiers for Cch Clinic Family Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598769044NPI-NPPES
25D0864691OtherMSCLIA
09015963MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cch Clinic Family Medical acts as a billing entity for following providers:
Provider NameMary S Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245323914
PECOS PAC ID: 3072610229
Enrollment ID: I20070522000691
Provider NameChad D Caraway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205052164
PECOS PAC ID: 9436232170
Enrollment ID: I20080219000084
Provider NameAndrea M Bruce
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295739894
PECOS PAC ID: 8426113135
Enrollment ID: I20090212000523
Provider NameMonica Blakley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982923942
PECOS PAC ID: 0446383384
Enrollment ID: I20100729000583
Provider NameJennifer R Leggett-hudson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801100037
PECOS PAC ID: 3476748427
Enrollment ID: I20101116000588
Provider NameKaren R Pitts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467729293
PECOS PAC ID: 7113193251
Enrollment ID: I20111220000631
Provider NamePaul I Pyles
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568496560
PECOS PAC ID: 4880799410
Enrollment ID: I20120917000276
Provider NameKenneth R Daughtrey
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902814361
PECOS PAC ID: 1153552963
Enrollment ID: I20140320000254
Provider NameNicole Lott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861809402
PECOS PAC ID: 8628297959
Enrollment ID: I20140917002925
Provider NameLacey Blakeney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326457151
PECOS PAC ID: 7214254010
Enrollment ID: I20150316000467
Provider NameAngela B Mccallum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659755676
PECOS PAC ID: 4789990284
Enrollment ID: I20150828001492
Provider NameMelissa Coulson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235581513
PECOS PAC ID: 8729371737
Enrollment ID: I20160728002112
Provider NameChristie L Kellar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184161457
PECOS PAC ID: 6901183094
Enrollment ID: I20170427000044
Provider NameCrystal P Mcnabb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326565763
PECOS PAC ID: 5193086403
Enrollment ID: I20180301001879
Provider NameTwylia M. Aultman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912483405
PECOS PAC ID: 3072863000
Enrollment ID: I20180912001218
Provider NameLaura J Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548756810
PECOS PAC ID: 1850644618
Enrollment ID: I20181024000654
Provider NameFelicia S Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477011161
PECOS PAC ID: 9830431444
Enrollment ID: I20190501001619
Provider NameOlivia Burch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982247888
PECOS PAC ID: 7214363431
Enrollment ID: I20200207000151
Provider NameAriale Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790319945
PECOS PAC ID: 8527481845
Enrollment ID: I20200706000808
Provider NameDestiny D Epting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710598230
PECOS PAC ID: 5193141539
Enrollment ID: I20200817002458
Provider NameHolly K Odom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790392850
PECOS PAC ID: 4082033626
Enrollment ID: I20200930002077
Provider NameAmanda Cooley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841723251
PECOS PAC ID: 6406120369
Enrollment ID: I20210625002693
Provider NameWeaton M Middleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467022939
PECOS PAC ID: 3678970571
Enrollment ID: I20210920002548
Provider NameJonathan Sappington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437647278
PECOS PAC ID: 1153675269
Enrollment ID: I20211020003214
Provider NameShelby Fnp Dickerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457116907
PECOS PAC ID: 2668813841
Enrollment ID: I20240520000588

Reviews and Comments


Clinic/Center in Collins, MS

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Phone: 601-765-6711    Fax: 601-765-2808
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Collins Family Practice
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Phone: 601-765-4414    Fax: 601-765-9141
Covington County Hospital
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Medicare: Not Enrolled in Medicare
Practice Location: 301 Highway 35, Collins, MS 39428
Phone: 601-837-7380    
Hopewell Elementary School
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Medicare: Not Enrolled in Medicare
Practice Location: 824 Hopewell Rd, Collins, MS 39428
Phone: 601-545-8700    Fax: 601-450-2493

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.