<unavail> in Byram, MS - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Byram, Mississippi. The current practice location for is 7215 S Siwell Rd Ste B, Byram, Mississippi. For appointments, you can reach them via phone at (601) 201-4419. The mailing address for is 1501 Raymond Bolton Rd, Raymond, Mississippi and phone number is (601) 201-4419.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063266823. 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) 201-4419.

Contact Information


	7215 S Siwell Rd Ste B Byram MS 39272-9776
	(601) 201-4419
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	7215 S Siwell Rd Ste B, Byram, Mississippi
Authorized Official Name and Position	Stephanie Oberhousen Boydston (OWNER)
Authorized Official Contact	6012014419
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1501 Raymond Bolton Rd Raymond MS 39154-9591 Ph: (601) 201-4419	7215 S Siwell Rd Ste B Byram MS 39272-9776 Ph: (601) 201-4419

NPI Details:

NPI Number	1063266823
Provider Enumeration Date	04/16/2024
Last Update Date	05/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6901340215
Medicare Enrollment ID	O20240627002377

Medical Identifiers

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

Identifier	Type	State	Issuer
1063266823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (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	Stephanie Oberhousen Boydston
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1356984462 PECOS PAC ID: 7719311778 Enrollment ID: I20191227000855

Reviews and Comments

Family Medicine in Byram, MS

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 S Siwell Rd, Byram, MS 39272 Phone: 601-373-1234 Fax: 601-373-1397
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7215 S Siwell Rd, Byram, MS 39272 Phone: 601-373-2204 Fax: 601-373-4413
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7241 Gary Rd, Byram, MS 39272 Phone: 601-892-4053
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7255 Gary Rd, Byram, MS 39272 Phone: 601-894-8590
Mea Primary Care Plus, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 S Siwell Rd, Byram, MS 39272 Phone: 601-373-1234 Fax: 601-373-1397
Nps On Call, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Southpointe Dr, Byram, MS 39272 Phone: 601-724-9252

- Medicare Primary Care in Byram, MS