| Mississippi Family Medicine P C | |
|
940 Matthew Dr Suite 2 Waynesboro MS 39367-2522 | |
| (601) 671-8555 | |
| (601) 671-0777 |
| Full Name | Mississippi Family Medicine P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 940 Matthew Dr, Waynesboro, Mississippi |
| Authorized Official Name and Position | Barbara Dearman (INSURANCE CLERK) |
| Authorized Official Contact | 6016718555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Family Medicine P C 940 Matthew Dr Suite 2 Waynesboro MS 39367-2522 Ph: (601) 671-8555 | Mississippi Family Medicine P C 940 Matthew Dr Suite 2 Waynesboro MS 39367-2522 Ph: (601) 671-8555 |
| NPI Number | 1669522942 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 07/20/2010 |
| Medicare PECOS PAC ID | 8224116256 |
|---|---|
| Medicare Enrollment ID | O20080416000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669522942 | NPI | - | NPPES |
| 0117444 | Medicaid | MS | |
| 279588 | Other | MS | DR. TYNES |
| 009926375 | Other | AL | DR. STROKLEY |
| 0113843 | Medicaid | MS | |
| C02214 | Other | MS | MEDICARE PROVIDER ID |
| 00964 | Other | AL | DR. STOKLEY |
| 009700450 | Other | AL | DR. TYNES |
| 279588 | Other | MS | DR. STOKLEY |
| CD1005 | Other | PALMETTOGBA - RAILROAD MEDICARE | |
| 073075294TYN | Other | AL | DR. TYNES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Charles Todd Stokley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851488514 PECOS PAC ID: 8022196062 Enrollment ID: I20100923001092 |
| Provider Name | Peyton Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841575933 PECOS PAC ID: 8426223363 Enrollment ID: I20111205000774 |
| Provider Name | Kendall Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134491806 PECOS PAC ID: 0840458592 Enrollment ID: I20120227000333 |
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Waynesboro Family Medicine & Obstetrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 Matthew Dr Ste A, Waynesboro, MS 39367 Phone: 601-735-2401 Fax: 601-735-5205 | |
Arthur E Wood Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 Matthew Dr Ste D, Waynesboro, MS 39367 Phone: 601-671-2795 Fax: 601-735-4227 | |
Wayne General Surgery Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 940 Matthew Dr, Suite 5, Waynesboro, MS 39367 Phone: 601-735-7285 | |
Wayne General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Matthew Dr Ste 8, Waynesboro, MS 39367 Phone: 601-735-7246 Fax: 601-735-7248 | |
Wayne General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1325 Azalea Dr, Waynesboro, MS 39367 Phone: 601-671-2825 | |
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