Northside Medical Clinic in Starkville, MS

Northside Medical Clinic is a medicare enrolled primary clinic (Clinic/center) in Starkville, Mississippi. The current practice location for Northside Medical Clinic is 1014a N Jackson St, Starkville, Mississippi. For appointments, you can reach them via phone at (662) 617-4894. The mailing address for Northside Medical Clinic is 1014a N Jackson St, Starkville, Mississippi and phone number is (662) 617-4894.

Northside Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811721442. 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 (662) 617-4894.

Contact Information

	Northside Medical Clinic
	1014a N Jackson St Starkville MS 39759-2211
	(662) 617-4894
	(662) 384-5345

Map and Direction

Primary Care Clinic Profile

Full Name	Northside Medical Clinic
Speciality	Clinic/Center
Location	1014a N Jackson St, Starkville, Mississippi
Authorized Official Name and Position	Klancie Allison Smith (FAMILY NURSE PRACTITIONER/OWNER)
Authorized Official Contact	6626174894
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Northside Medical Clinic 1014a N Jackson St Starkville MS 39759-2211 Ph: (662) 617-4894	Northside Medical Clinic 1014a N Jackson St Starkville MS 39759-2211 Ph: (662) 617-4894

NPI Details:

NPI Number	1811721442
Provider Enumeration Date	08/27/2024
Last Update Date	08/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4284168220
Medicare Enrollment ID	O20241113001264

Medical Identifiers

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

Identifier	Type	State	Issuer
1811721442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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. Northside Medical Clinic acts as a billing entity for following providers:

Provider Name	Klancie Allison Smith
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1740744572 PECOS PAC ID: 7416382064 Enrollment ID: I20200109000378

Reviews and Comments

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Northside Medical Clinic - Medicare Primary Care in Starkville, MS