Pinnacle Medical Clinic | |
7900 Highway 570 Summit MS 39666-7563 | |
(601) 684-7771 | |
(601) 684-1616 |
Full Name | Pinnacle Medical Clinic |
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Speciality | Clinic/Center |
Location | 7900 Highway 570, Summit, Mississippi |
Authorized Official Name and Position | David P Smith (CEO) |
Authorized Official Contact | 6016847771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinnacle Medical Clinic 7900 Highway 570 Summit MS 39666-7563 Ph: (601) 684-7771 | Pinnacle Medical Clinic 7900 Highway 570 Summit MS 39666-7563 Ph: (601) 684-7771 |
NPI Number | 1043493851 |
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Provider Enumeration Date | 12/14/2007 |
Last Update Date | 06/03/2013 |
Medicare PECOS PAC ID | 4183612740 |
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Medicare Enrollment ID | O20080715000283 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043493851 | NPI | - | NPPES |
03522321 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 14467 (Mississippi) | Primary |
Provider Name | Joseph Lee Dykes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396123402 PECOS PAC ID: 5395046775 Enrollment ID: I20151209002600 |
Provider Name | Tracilee Dykes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851016562 PECOS PAC ID: 0345619292 Enrollment ID: I20221215001403 |
Southwest Mississippi Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 W Railroad Ave, Summit, MS 39666 Phone: 601-250-4420 Fax: 601-250-4421 | |
Jennifer D Gholson Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Robb St, Summit, MS 39666 Phone: 601-276-7665 Fax: 601-276-7655 | |
Pure Therapy, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7955 Huckleberry Ln, Summit, MS 39666 Phone: 601-870-4360 | |
Southwest Mississippi Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 W Railroad Ave, Summit, MS 39666 Phone: 601-250-4420 Fax: 601-250-4421 |