Kdmc Pediatric Adolescent Clinic - Medicare Primary Care in Brookhaven, MS

Kdmc Pediatric Adolescent Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Brookhaven, Mississippi. The current practice location for Kdmc Pediatric Adolescent Clinic is 509 Brookman Dr., Brookhaven, Mississippi. For appointments, you can reach them via phone at (601) 823-5204. The mailing address for Kdmc Pediatric Adolescent Clinic is 427 Highway 51 N, Brookhaven, Mississippi and phone number is (601) 835-9275.

Kdmc Pediatric Adolescent Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1275307902. 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) 823-5204.

Contact Information

Kdmc Pediatric Adolescent Clinic
509 Brookman Dr.
Brookhaven
MS 39601-2326
(601) 823-5204
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameKdmc Pediatric Adolescent Clinic
SpecialityClinic/Center
Location509 Brookman Dr., Brookhaven, Mississippi
Authorized Official Name and PositionScott Christensen (CEO)
Authorized Official Contact6018359488
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kdmc Pediatric Adolescent Clinic
427 Highway 51 N
Brookhaven
MS 39601-2350

Ph: (601) 835-9275
Kdmc Pediatric Adolescent Clinic
509 Brookman Dr.
Brookhaven
MS 39601-2326

Ph: (601) 823-5204

NPI Details:

NPI Number1275307902
Provider Enumeration Date11/13/2023
Last Update Date11/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3072575539
Medicare Enrollment IDO20240108005144

Medical Identifiers

Medical identifiers for Kdmc Pediatric Adolescent Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275307902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

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.