Lena Family Medical, Inc. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Lena, Mississippi. The current practice location for Lena Family Medical, Inc. is 1107 Grand Avenue, Lena, Mississippi. For appointments, you can reach them via phone at
(601) 654-3433. The mailing address for Lena Family Medical, Inc. is 1107 Grand Avenue, P.o. Box 295, Lena, Mississippi and phone number is (601) 654-3433.
Lena Family Medical, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1184120883. 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) 654-3433.
Primary Care Clinic Profile
| Full Name | Lena Family Medical, Inc. |
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| Speciality | Clinic/Center |
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| Location | 1107 Grand Avenue, Lena, Mississippi |
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| Authorized Official Name and Position | Rebecca Annette Johnston (FAMILY NURSE PRACTITIONER) |
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| Authorized Official Contact | 6016543433 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lena Family Medical, Inc.
1107 Grand Avenue
P.o. Box 295
Lena
MS 39094
Ph: (601) 654-3433 | Lena Family Medical, Inc.
1107 Grand Avenue
Lena
MS 39094
Ph: (601) 654-3433 |
NPI Details:
| NPI Number | 1184120883 |
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| Provider Enumeration Date | 04/02/2018 |
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| Last Update Date | 03/04/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4385998095 |
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| Medicare Enrollment ID | O20181115002891 |
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Medical Identifiers
Medical identifiers for Lena Family Medical, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184120883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (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.
Lena Family Medical, Inc. acts as a billing entity for following providers:
| Provider Name | Rebecca Annette Johnston |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1932619103
PECOS PAC ID: 3971857699
Enrollment ID: I20181116000138 |
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