Healthy Living Family Medical Center Llc is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Gunnision, Mississippi. The current practice location for Healthy Living Family Medical Center Llc is 820 Ashland Avenue, Gunnision, Mississippi. For appointments, you can reach them via phone at
(662) 987-5023. The mailing address for Healthy Living Family Medical Center Llc is Po Box 357, Gunnison, Mississippi and phone number is (662) 987-5023.
Healthy Living Family Medical Center Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1154845840. 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) 987-5023.
Primary Care Clinic Profile
| Full Name | Healthy Living Family Medical Center Llc |
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| Speciality | Clinic/Center |
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| Location | 820 Ashland Avenue, Gunnision, Mississippi |
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| Authorized Official Name and Position | Wycondaroga E Thomas (NURSE PRACTITIONER/OWNER) |
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| Authorized Official Contact | 6624020174 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Healthy Living Family Medical Center Llc
Po Box 357
Gunnison
MS 38746-0357
Ph: (662) 987-5023 | Healthy Living Family Medical Center Llc
820 Ashland Avenue
Gunnision
MS 38746
Ph: (662) 987-5023 |
NPI Details:
| NPI Number | 1154845840 |
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| Provider Enumeration Date | 08/03/2017 |
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| Last Update Date | 02/03/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7911271747 |
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| Medicare Enrollment ID | O20170918002897 |
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Medical Identifiers
Medical identifiers for Healthy Living Family Medical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154845840 | NPI | - | NPPES |
| 04784050 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 890243 (Mississippi) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Healthy Living Family Medical Center Llc acts as a billing entity for following providers:
| Provider Name | Wycondaroga E Thomas |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1184091894
PECOS PAC ID: 8820390339
Enrollment ID: I20151230000225 |
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