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

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Philadelphia, Mississippi. The current practice location for is 213 Hospital Rd W, Philadelphia, Mississippi. For appointments, you can reach them via phone at (601) 663-1210. The mailing address for is 213 Hospital Rd W, Philadelphia, Mississippi and phone number is (601) 663-1210.

is licensed to practice in Mississippi (license number 258559). The clinic also participates in the medicare program and its NPI number is 1003834979. 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) 663-1210.

Contact Information


	213 Hospital Rd W Philadelphia MS 39350-2211
	(601) 663-1210
	(601) 663-1211

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	213 Hospital Rd W, Philadelphia, Mississippi
Authorized Official Name and Position	Gary Lee Mccall (CEO)
Authorized Official Contact	6016631360
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
213 Hospital Rd W Philadelphia MS 39350-2211 Ph: (601) 663-1210	213 Hospital Rd W Philadelphia MS 39350-2211 Ph: (601) 663-1210

NPI Details:

NPI Number	1003834979
Provider Enumeration Date	07/18/2006
Last Update Date	08/05/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	6204738289
Medicare Enrollment ID	O20110226000126

Medical Identifiers

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

Identifier	Type	State	Issuer
1003834979	NPI	-	NPPES
06322054	Medicaid	MS
07089504	Medicaid	MS
25-8559	Other	MS	MEDICARE PART A

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	258559 (Mississippi)	Primary

Reviews and Comments

Clinic/Center in Philadelphia, MS

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1056 Holland Ave, Philadelphia, MS 39350 Phone: 601-656-8545 Fax: 601-656-3985
J. Todd Willis, Md Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Avenue, Suite 104, Philadelphia, MS 39350 Phone: 601-656-0010 Fax: 601-656-0313
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Big Creek Cir, Philadelphia, MS 39350 Phone: 601-656-2211 Fax: 601-663-7721

- Medicare Primary Care in Philadelphia, MS