<unavail> in Lucedale, MS - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Lucedale, Mississippi. The current practice location for is 223 Winter St Ste D, Lucedale, Mississippi. For appointments, you can reach them via phone at (601) 791-5012. The mailing address for is 6577 Creel Rd, Theodore, Alabama and phone number is (251) 725-8455.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992409262. 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) 791-5012.

Contact Information


	223 Winter St Ste D Lucedale MS 39452-6078
	(601) 791-5012
	(601) 791-5013

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	223 Winter St Ste D, Lucedale, Mississippi
Authorized Official Name and Position	Bridgot Peters (BILLING DIRECTOR)
Authorized Official Contact	2514457618
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
6577 Creel Rd Theodore AL 36582-3857 Ph: (251) 725-8455	223 Winter St Ste D Lucedale MS 39452-6078 Ph: (601) 791-5012

NPI Details:

NPI Number	1992409262
Provider Enumeration Date	03/29/2023
Last Update Date	05/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5890157739
Medicare Enrollment ID	O20230809003557

Medical Identifiers

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

Identifier	Type	State	Issuer
1992409262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family 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. acts as a billing entity for following providers:

Provider Name	Norman Mel Parnell
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1184961054 PECOS PAC ID: 7810133055 Enrollment ID: I20130415000121

Reviews and Comments

Family Medicine in Lucedale, MS

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- Medicare Primary Care in Lucedale, MS