Itta Bena Clinic in Itta Bena, MS - Medicare Clinic/Center

Itta Bena Clinic - Medicare Primary Care in Itta Bena, MS

Itta Bena Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Itta Bena, Mississippi. The current practice location for Itta Bena Clinic is 103 Basket St, Itta Bena, Mississippi. For appointments, you can reach them via phone at (662) 254-7801. The mailing address for Itta Bena Clinic is Po Box 1410, Greenwood, Mississippi and phone number is (662) 254-7801.

Itta Bena Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003875394. 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) 254-7801.

Contact Information

	Itta Bena Clinic
	103 Basket St Itta Bena MS 38941-2801
	(662) 254-7801
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Itta Bena Clinic
Speciality	Clinic/Center
Location	103 Basket St, Itta Bena, Mississippi
Authorized Official Name and Position	Jennifer Dawne Holmes (CFO)
Authorized Official Contact	6624592603
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Itta Bena Clinic Po Box 1410 Greenwood MS 38935-1410 Ph: (662) 254-7801	Itta Bena Clinic 103 Basket St Itta Bena MS 38941-2801 Ph: (662) 254-7801

NPI Details:

NPI Number	1003875394
Provider Enumeration Date	03/23/2006
Last Update Date	05/07/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	1153399472
Medicare Enrollment ID	O20091117000491

Medical Identifiers

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

Identifier	Type	State	Issuer
1003875394	NPI	-	NPPES
09014635	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Itta Bena, MS

Delta Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14000 Highway 82 W, Itta Bena, MS 38941 Phone: 662-741-8800
Home In The Woods Healthcare Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6572 County Road 514, Itta Bena, MS 38941 Phone: 601-896-1789