Outreach Health Services,inc. - Medicare Primary Care in Shubuta, MS

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Outreach Health Services,inc. is a medicare enrolled primary clinic (Clinic/center - Community Health) in Shubuta, Mississippi. The current practice location for Outreach Health Services,inc. is 130 North High Street, Shubuta, Mississippi. For appointments, you can reach them via phone at (601) 687-5859. The mailing address for Outreach Health Services,inc. is Po Box 527, 130 N High St, Shubuta, Mississippi and phone number is (601) 687-5859.

Outreach Health Services,inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548359565. 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) 687-5859.

Contact Information

Outreach Health Services,inc.
130 North High Street
Shubuta
MS 39360
(601) 687-5859
(601) 687-5408

Map and Direction


Primary Care Clinic Profile

Full NameOutreach Health Services,inc.
SpecialityClinic/Center
Location130 North High Street, Shubuta, Mississippi
Authorized Official Name and PositionSabrina Howze (EXECUTIVE DIRECTOR)
Authorized Official Contact6016875859
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Outreach Health Services,inc.
Po Box 527
130 N High St
Shubuta
MS 39360-0527

Ph: (601) 687-5859		Outreach Health Services,inc.
130 North High Street
Shubuta
MS 39360

Ph: (601) 687-5859

NPI Details:

NPI Number1548359565
Provider Enumeration Date10/11/2006
Last Update Date03/09/2015

Medicare PECOS Information:

Medicare PECOS PAC ID1951386911
Medicare Enrollment IDO20040623000333

Medical Identifiers

Medical identifiers for Outreach Health Services,inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548359565NPI-NPPES
08384012MedicaidMS
09013496MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Primary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Outreach Health Services,inc. acts as a billing entity for following providers:
Provider NameJackie E Mchenry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649252057
PECOS PAC ID: 3971412743
Enrollment ID: I20070710000205
Provider NameHatem Mourad
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730220070
PECOS PAC ID: 8123181146
Enrollment ID: I20100831000704
Provider NameKendall Thornton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134491806
PECOS PAC ID: 0840458592
Enrollment ID: I20120227000333
Provider NameCaron C Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316253115
PECOS PAC ID: 2466612825
Enrollment ID: I20120322000576
Provider NameChasity M Sisson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992983829
PECOS PAC ID: 5890983381
Enrollment ID: I20150401000450
Provider NameShanika Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578920328
PECOS PAC ID: 1254635014
Enrollment ID: I20160215002580
Provider NameRobert William Dycus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568095453
PECOS PAC ID: 8628498466
Enrollment ID: I20201202000262

Reviews and Comments


Clinic/Center in Shubuta, MS


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.