Jennifer D Gholson Md, Llc - Medicare Primary Care in Summit, MS

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Jennifer D Gholson Md, Llc is a medicare enrolled primary clinic (Family Medicine) in Summit, Mississippi. The current practice location for Jennifer D Gholson Md, Llc is 804 Robb St, Summit, Mississippi. For appointments, you can reach them via phone at (601) 276-7665. The mailing address for Jennifer D Gholson Md, Llc is 804 Robb St, Summit, Mississippi and phone number is (601) 276-7665.

Jennifer D Gholson Md, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487967410. 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) 276-7665.

Contact Information

Jennifer D Gholson Md, Llc
804 Robb St
Summit
MS 39666-8291
(601) 276-7665
(601) 276-7655

Map and Direction


Primary Care Clinic Profile

Full NameJennifer D Gholson Md, Llc
SpecialityFamily Medicine
Location804 Robb St, Summit, Mississippi
Authorized Official Name and PositionJennifer Gholson (OWNER)
Authorized Official Contact6012767665
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer D Gholson Md, Llc
804 Robb St
Summit
MS 39666-8291

Ph: (601) 276-7665		Jennifer D Gholson Md, Llc
804 Robb St
Summit
MS 39666-8291

Ph: (601) 276-7665

NPI Details:

NPI Number1487967410
Provider Enumeration Date07/19/2010
Last Update Date06/16/2015

Medicare PECOS Information:

Medicare PECOS PAC ID0244363794
Medicare Enrollment IDO20100804000264

Medical Identifiers

Medical identifiers for Jennifer D Gholson Md, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487967410NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Jennifer D Gholson Md, Llc acts as a billing entity for following providers:
Provider NameJennifer D Gholson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174588834
PECOS PAC ID: 2567487309
Enrollment ID: I20051011000177
Provider NameDeborah Zachary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932158482
PECOS PAC ID: 8820127004
Enrollment ID: I20100526000620
Provider NameNoralyn C Blalock-perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568745966
PECOS PAC ID: 1052534294
Enrollment ID: I20140516000022
Provider NameTiffany J Mensi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770854481
PECOS PAC ID: 8921266198
Enrollment ID: I20141212002039
Provider NameElizabeth Mccord
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194179226
PECOS PAC ID: 2668754607
Enrollment ID: I20170126001676
Provider NameKaren Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144762568
PECOS PAC ID: 6002193927
Enrollment ID: I20170502002472
Provider NameLucy R Mikell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710463856
PECOS PAC ID: 1850640160
Enrollment ID: I20210614000608
Provider NameJennifer Bass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962177519
PECOS PAC ID: 3779972914
Enrollment ID: I20211110000522

Reviews and Comments


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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.