Fmch Liberty Clinic - Medicare Primary Care in Liberty, MS

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Fmch Liberty Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Liberty, Mississippi. The current practice location for Fmch Liberty Clinic is 1410 Main St. East, Liberty, Mississippi. For appointments, you can reach them via phone at (601) 657-8820. The mailing address for Fmch Liberty Clinic is Po Box 514, Liberty, Mississippi and phone number is () -.

Fmch Liberty Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669818480. 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) 657-8820.

Contact Information

Fmch Liberty Clinic
1410 Main St. East
Liberty
MS 39645-0514
(601) 657-8820
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameFmch Liberty Clinic
SpecialityClinic/Center
Location1410 Main St. East, Liberty, Mississippi
Authorized Official Name and PositionJeremy Chad Netterville (ADMINISTRATOR/CEO)
Authorized Official Contact6018900545
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fmch Liberty Clinic
Po Box 514
Liberty
MS 39645-0514

Ph: () -		Fmch Liberty Clinic
1410 Main St. East
Liberty
MS 39645-0514

Ph: (601) 657-8820

NPI Details:

NPI Number1669818480
Provider Enumeration Date05/20/2013
Last Update Date09/12/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0547248544
Medicare Enrollment IDO20131014000541

Medical Identifiers

Medical identifiers for Fmch Liberty Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669818480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fmch Liberty Clinic acts as a billing entity for following providers:
Provider NameHarold G Clausen
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1417958240
PECOS PAC ID: 3971577909
Enrollment ID: I20040824001293
Provider NameFred H Petty
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1841291333
PECOS PAC ID: 3375517303
Enrollment ID: I20040824001334
Provider NameThomas E Wills
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1578523981
PECOS PAC ID: 0941242499
Enrollment ID: I20050525000681
Provider NameRichard J Field
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1548217847
PECOS PAC ID: 9436191889
Enrollment ID: I20050525000736
Provider NameTrinity J Mckenzie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255387544
PECOS PAC ID: 7618991951
Enrollment ID: I20060125000499
Provider NameRobert D Rabalais
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1083630040
PECOS PAC ID: 6800816489
Enrollment ID: I20080730000378
Provider NameLesa Whitehead
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750653382
PECOS PAC ID: 7618130238
Enrollment ID: I20120518000179
Provider NameJames Lee Hawley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275946162
PECOS PAC ID: 5193047405
Enrollment ID: I20141121002166
Provider NameAshley Dillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861862963
PECOS PAC ID: 7214234137
Enrollment ID: I20160321001370
Provider NameKimberly Diane Gabriel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699054700
PECOS PAC ID: 6507154242
Enrollment ID: I20190903000403
Provider NameKristen Womack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114567617
PECOS PAC ID: 1355770231
Enrollment ID: I20200327000587
Provider NameJessica Erin Willis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588003297
PECOS PAC ID: 2769775071
Enrollment ID: I20210311000021
Provider NameAmber Flowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811507114
PECOS PAC ID: 9537579396
Enrollment ID: I20210719001154
Provider NameAmber Watson Malone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851172316
PECOS PAC ID: 5799131132
Enrollment ID: I20231021000577

Reviews and Comments


Clinic/Center in Liberty, MS

Amite County Medical Services, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 102 West Freedom Drive, Liberty, MS 39645
Phone: 601-657-4326    Fax: 601-657-8867
Liberty Dental Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 102 West Freedom Drive, Liberty, MS 39645
Phone: 601-657-1236    Fax: 601-657-9181

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.