| Hancock Internal Medicine Services, Llc | |
|
202 N 1st St Booneville MS 38829-2718 | |
| (662) 340-1138 | |
| Not Available |
| Full Name | Hancock Internal Medicine Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 202 N 1st St, Booneville, Mississippi |
| Authorized Official Name and Position | Michael Hancock (PRESIDENT) |
| Authorized Official Contact | 6623401138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hancock Internal Medicine Services, Llc Po Box 369 Booneville MS 38829-0369 Ph: () - | Hancock Internal Medicine Services, Llc 202 N 1st St Booneville MS 38829-2718 Ph: (662) 340-1138 |
| NPI Number | 1245984418 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 03/27/2022 |
| Medicare PECOS PAC ID | 7416342670 |
|---|---|
| Medicare Enrollment ID | O20220325000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245984418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael P Hancock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104236504 PECOS PAC ID: 8729350301 Enrollment ID: I20220325000129 |
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