- Medicare Primary Care in Itta Bena, MS

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is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Itta Bena, Mississippi. The current practice location for is 6572 County Road 514, Itta Bena, Mississippi. For appointments, you can reach them via phone at (601) 896-1789. The mailing address for is 6572 County Road 514, Itta Bena, Mississippi and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1720640899. 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) 896-1789.

Contact Information

6572 County Road 514
Itta Bena
MS 38941-2746
(601) 896-1789
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location6572 County Road 514, Itta Bena, Mississippi
Authorized Official Name and PositionTanga Robinson (FAMILY NURSE PRACTITIONER)
Authorized Official Contact6018961789
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

6572 County Road 514
Itta Bena
MS 38941-2746

Ph: () -
6572 County Road 514
Itta Bena
MS 38941-2746

Ph: (601) 896-1789

NPI Details:

NPI Number1720640899
Provider Enumeration Date06/28/2019
Last Update Date12/12/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2466996830
Medicare Enrollment IDO20240627000872

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720640899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

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 NameTanga Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447642335
PECOS PAC ID: 7911217955
Enrollment ID: I20190211000340

Reviews and Comments


Clinic/Center in Itta Bena, MS


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 103 Basket St, Itta Bena, MS 38941
Phone: 662-254-7801    
Delta Health Center, Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 14000 Highway 82 W, Itta Bena, MS 38941
Phone: 662-741-8800    

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.