Family Medical Clinic | |
20 S Sixth St Bay Springs MS 39422-9055 | |
(601) 764-4494 | |
(601) 764-4649 |
Full Name | Family Medical Clinic |
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Speciality | Family Medicine |
Location | 20 S Sixth St, Bay Springs, Mississippi |
Authorized Official Name and Position | Marshall Kenneth Posey (ADMINISTRATOR) |
Authorized Official Contact | 6017642101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medical Clinic 20 S Sixth St Bay Springs MS 39422-9055 Ph: (601) 764-4494 | Family Medical Clinic 20 S Sixth St Bay Springs MS 39422-9055 Ph: (601) 764-4494 |
NPI Number | 1770660920 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 06/23/2014 |
Medicare PECOS PAC ID | 1052487105 |
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Medicare Enrollment ID | O20130115000077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770660920 | NPI | - | NPPES |
09010972 | Medicaid | MS | |
04-30099 | Other | MS | UNITED HEALTH CARE |
425136982B | Other | MS | BLUE CROSS |
80088201 | Other | MS | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00115455 (Mississippi) | Primary |
Provider Name | Donna Baucum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225129992 PECOS PAC ID: 8426026071 Enrollment ID: I20040921000872 |
Provider Name | A. Keith Lay |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144338369 PECOS PAC ID: 1850209826 Enrollment ID: I20080911000231 |
Provider Name | Mary E Clawson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194825513 PECOS PAC ID: 4082893714 Enrollment ID: I20110126000700 |
Provider Name | Leanne Terrell Bynum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467778423 PECOS PAC ID: 2961749783 Enrollment ID: I20190131001855 |
Provider Name | Alison L Holder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700977675 PECOS PAC ID: 9638416464 Enrollment ID: I20190131002116 |
Provider Name | Ngozi O Onwubiko |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902997778 PECOS PAC ID: 0547508723 Enrollment ID: I20190213002032 |
Provider Name | Kristen Leigh Ellzey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548885759 PECOS PAC ID: 8325459209 Enrollment ID: I20201125000668 |
Provider Name | Pamela R Fail |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205954906 PECOS PAC ID: 9436452729 Enrollment ID: I20210405002406 |
Provider Name | Patricia Ann Boltz |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1093716102 PECOS PAC ID: 5294832382 Enrollment ID: I20210420000549 |
Provider Name | Mallory Odom Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073285573 PECOS PAC ID: 9436547957 Enrollment ID: I20211102001061 |
Eure-lay Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Highway 18, Bay Springs, MS 39422 Phone: 601-764-2143 Fax: 601-764-4890 | |
Jasper County After Hours Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-2155 Fax: 601-764-2150 | |
Bay Springs After Hours Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-2143 Fax: 601-764-4890 | |
Bay Springs Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 Highway 15, Bay Springs, MS 39422 Phone: 601-764-6972 Fax: 601-764-6975 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 298 Hwy 18 West, Bay Springs, MS 39422 Phone: 601-825-7280 Fax: 601-825-8130 |