<unavail> in Houston, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Houston, Mississippi. The current practice location for is 403 E Washington St, Houston, Mississippi. For appointments, you can reach them via phone at (662) 792-6601. The mailing address for is 403 E Washington St, Houston, Mississippi and phone number is (662) 792-6601.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023885050. 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 (662) 792-6601.

Contact Information


	403 E Washington St Houston MS 38851-2318
	(662) 792-6601
	(406) 315-7338

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	403 E Washington St, Houston, Mississippi
Authorized Official Name and Position	Aretha Renee Harris (PROVIDER)
Authorized Official Contact	6626314316
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
403 E Washington St Houston MS 38851-2318 Ph: (662) 792-6601	403 E Washington St Houston MS 38851-2318 Ph: (662) 792-6601

NPI Details:

NPI Number	1023885050
Provider Enumeration Date	12/11/2023
Last Update Date	11/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5092154369
Medicare Enrollment ID	O20240418004233

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023885050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
261QU0200X	Clinic/center - Urgent Care	(* (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. acts as a billing entity for following providers:

Provider Name	Aretha Renee Harris
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1154803005 PECOS PAC ID: 9931534104 Enrollment ID: I20210114000567

Reviews and Comments

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- Medicare Primary Care in Houston, MS