<unavail> in Natchez, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Natchez, Mississippi. The current practice location for is 319 Sgt Prentiss Dr, Natchez, Mississippi. For appointments, you can reach them via phone at (601) 786-3475. The mailing address for is Po Box 98, Fayette, Mississippi and phone number is (601) 786-3475.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538924840. 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) 786-3475.

Contact Information


	319 Sgt Prentiss Dr Natchez MS 39120-4225
	(601) 786-3475
	(601) 786-9980

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	319 Sgt Prentiss Dr, Natchez, Mississippi
Authorized Official Name and Position	Deborah Ann Gamble (CREDENTAILING)
Authorized Official Contact	6017863475
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 98 Fayette MS 39069-0098 Ph: (601) 786-3475	319 Sgt Prentiss Dr Natchez MS 39120-4225 Ph: (601) 786-3475

NPI Details:

NPI Number	1538924840
Provider Enumeration Date	02/15/2024
Last Update Date	05/02/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0345248100
Medicare Enrollment ID	O20240412001971

Medical Identifiers

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

Identifier	Type	State	Issuer
1538924840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (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	Kenitra Wallace
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1891218046 PECOS PAC ID: 3971036781 Enrollment ID: I20241101000222

Provider Name	Jermonique King
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1033531512 PECOS PAC ID: 9638602303 Enrollment ID: I20241101003539

Reviews and Comments

Clinic/Center in Natchez, MS

Us Star Nursing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 East Woodlawn Avenue, Natchez, MS 39120 Phone: 601-304-2043
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Homochitto St, Natchez, MS 39120 Phone: 601-786-3475 Fax: 601-786-9980
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Highway 61 N, Natchez, MS 39120 Phone: 601-861-1631
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Sgt Prentiss Dr, Suite 202, Natchez, MS 39120 Phone: 601-443-2100 Fax: 601-443-2885
Anthony L Buckles Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Northgate Rd Ste D, Natchez, MS 39120 Phone: 708-595-3660
Leslie E England Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Jefferson Davis Blvd Ste C, Natchez, MS 39120 Phone: 601-442-9802 Fax: 601-442-5802
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 N. Dr. Mlk Jr. Street, Natchez, MS 39120 Phone: 601-786-3475 Fax: 601-786-9980

- Medicare Primary Care in Natchez, MS