Horn Lake Family Practice Inc | |
3102 Goodman Rd W Horn Lake MS 38637-1172 | |
(662) 342-6677 | |
(662) 342-1213 |
Full Name | Horn Lake Family Practice Inc |
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Speciality | Family Medicine |
Location | 3102 Goodman Rd W, Horn Lake, Mississippi |
Authorized Official Name and Position | Sheetal Sharma (OFFICE MANAGER) |
Authorized Official Contact | 6623426677 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Horn Lake Family Practice Inc 3102 Goodman Rd W Horn Lake MS 38637-1172 Ph: (662) 342-6677 | Horn Lake Family Practice Inc 3102 Goodman Rd W Horn Lake MS 38637-1172 Ph: (662) 342-6677 |
NPI Number | 1508968421 |
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Provider Enumeration Date | 09/01/2006 |
Last Update Date | 07/21/2015 |
Medicare PECOS PAC ID | 9537198213 |
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Medicare Enrollment ID | O20050812000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508968421 | NPI | - | NPPES |
00118511 | Medicaid | MS | |
9015003 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0000X | Family Medicine - Adolescent Medicine | 15476 (Mississippi) | Primary |
Provider Name | Aarthur Rogers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568478659 PECOS PAC ID: 8921015314 Enrollment ID: I20060309000330 |
Provider Name | Achin Sharma |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093715641 PECOS PAC ID: 8527097203 Enrollment ID: I20070629000246 |
Provider Name | Carrie Worsham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003291683 PECOS PAC ID: 5991012379 Enrollment ID: I20170921000161 |
Provider Name | Robyn B Caldwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073151684 PECOS PAC ID: 8729415377 Enrollment ID: I20200221000208 |
Provider Name | Michaeline Bailey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447890298 PECOS PAC ID: 8022444983 Enrollment ID: I20200817003149 |
Provider Name | Lacey Palmer Conaway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629227608 PECOS PAC ID: 2264597327 Enrollment ID: I20220810000096 |
Southern Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6426 Highway 51 N, Horn Lake, MS 38637 Phone: 662-342-4080 Fax: 662-342-4933 | |
Newsom Healthcare Of Desoto County, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2906 Goodman Rd W, Suite 109, Horn Lake, MS 38637 Phone: 662-393-8022 Fax: 662-393-8052 | |
Horn Lake Chiropractic Centre, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-5368 Fax: 662-342-7980 | |
Superior Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2085 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-253-8459 Fax: 662-253-8678 | |
Convenient Care Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3040 Goodman Rd West, Horn Lake, MS 38637 Phone: 662-578-2030 Fax: 615-301-6550 | |
Comprehensive Family Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-280-3428 Fax: 662-280-1736 |