| Horizon Medical Providers Llc | |
|
141 Township Ave Ste 107 Ridgeland MS 39157-8697 | |
| (601) 955-5906 | |
| Not Available |
| Full Name | Horizon Medical Providers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 141 Township Ave Ste 107, Ridgeland, Mississippi |
| Authorized Official Name and Position | Bert Massey (MANAGING PARTNER) |
| Authorized Official Contact | 6012013121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Medical Providers Llc 1000 Highland Colony Pkwy Bldg 5000 Ste 5203 Ridgeland MS 39157-2079 Ph: (601) 201-3121 | Horizon Medical Providers Llc 141 Township Ave Ste 107 Ridgeland MS 39157-8697 Ph: (601) 955-5906 |
| NPI Number | 1982441473 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 5496295560 |
|---|---|
| Medicare Enrollment ID | O20240904003964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982441473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen E Seago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164664348 PECOS PAC ID: 6901951979 Enrollment ID: I20090827000665 |
| Provider Name | Ericia Latrice Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013473891 PECOS PAC ID: 1153661459 Enrollment ID: I20190325000935 |
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