Hancock Medical Walk-in Care | |
17000 Kapalama Rd Pass Christian MS 39571-9761 | |
(228) 395-1200 | |
(228) 395-1201 |
Full Name | Hancock Medical Walk-in Care |
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Speciality | Clinic/Center |
Location | 17000 Kapalama Rd, Pass Christian, Mississippi |
Authorized Official Name and Position | Guy Ken Smith (DIRECTOR OPERATIONS) |
Authorized Official Contact | 9858987091 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hancock Medical Walk-in Care 149 Drinkwater Blvd. Bay St Louis MS 39521-2790 Ph: (228) 467-8700 | Hancock Medical Walk-in Care 17000 Kapalama Rd Pass Christian MS 39571-9761 Ph: (228) 395-1200 |
NPI Number | 1346559689 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 04/30/2014 |
Medicare PECOS PAC ID | 8527256676 |
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Medicare Enrollment ID | O20101216000447 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346559689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Mississippi) | Primary |
363LF0000X | Nurse Practitioner - Family | (Mississippi) | Secondary |
Provider Name | Joseph R Lee |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1134128077 PECOS PAC ID: 1254308083 Enrollment ID: I20040916000675 |
Provider Name | Jeffrey R Benzing |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1255332458 PECOS PAC ID: 5890734768 Enrollment ID: I20050503000388 |
Provider Name | Brian Anthony |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1356349401 PECOS PAC ID: 7113086810 Enrollment ID: I20081111000076 |
Provider Name | Jami C Rutherford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629300231 PECOS PAC ID: 0446439509 Enrollment ID: I20110121000868 |
Provider Name | Mary Denius |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427349273 PECOS PAC ID: 7517135445 Enrollment ID: I20110720000722 |
Provider Name | Casey M Favre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073806246 PECOS PAC ID: 4587836044 Enrollment ID: I20111006000185 |
Provider Name | Becky F Hollibaugh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982618369 PECOS PAC ID: 9032110036 Enrollment ID: I20111201000175 |
Provider Name | Catherine M Brashear |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760756423 PECOS PAC ID: 9436315157 Enrollment ID: I20120725000420 |
Provider Name | Andrew Adams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013204742 PECOS PAC ID: 8527280809 Enrollment ID: I20141121001066 |
Provider Name | Joanna Bayles |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629365358 PECOS PAC ID: 9638390529 Enrollment ID: I20160229000059 |
Provider Name | Spencer Richardson |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1942564315 PECOS PAC ID: 8921324047 Enrollment ID: I20170629002227 |
Hancock Medical Walk-in Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17000 Kapalama Dr, Pass Christian, MS 39571 Phone: 228-467-8700 Fax: 228-467-8799 | |
Heartland Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13472 Vidalia Rd, Pass Christian, MS 39571 Phone: 228-344-0039 | |
Coastal Family Health Center, Inc - Mobile Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 257 Davis Ave, Pass Christian, MS 39571 Phone: 228-374-2494 Fax: 228-396-3457 | |
Pass Christian Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 257 Davis Ave Ste A, Pass Christian, MS 39571 Phone: 228-374-2494 Fax: 228-374-0856 |