Pioneer Health Care , Llc | |
4297 Hwy 42 Bassfield MS 39421 | |
(601) 550-3153 | |
(601) 901-6061 |
Full Name | Pioneer Health Care , Llc |
---|---|
Speciality | General Practice |
Location | 4297 Hwy 42, Bassfield, Mississippi |
Authorized Official Name and Position | Brad H Massey (OWNER) |
Authorized Official Contact | 6015503153 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pioneer Health Care , Llc 15 Keystone Dr Ste E Hattiesburg MS 39402-6124 Ph: (601) 550-3153 | Pioneer Health Care , Llc 4297 Hwy 42 Bassfield MS 39421 Ph: (601) 550-3153 |
NPI Number | 1336384742 |
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Provider Enumeration Date | 12/14/2008 |
Last Update Date | 09/29/2024 |
Medicare PECOS PAC ID | 4789740044 |
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Medicare Enrollment ID | O20090311000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336384742 | NPI | - | NPPES |
00124846 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | R814032 (Mississippi) | Primary |
Provider Name | Roy D Evans |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1952465619 PECOS PAC ID: 5698769784 Enrollment ID: I20040412001393 |
Provider Name | Lisa D Morgan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487631461 PECOS PAC ID: 5991777195 Enrollment ID: I20040809000911 |
Provider Name | Wendell R Helveston |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1881607158 PECOS PAC ID: 0345288536 Enrollment ID: I20050419000655 |
Provider Name | Melinda B Delancey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548201403 PECOS PAC ID: 7315946415 Enrollment ID: I20061219000505 |
Provider Name | Charles R Griffith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205891975 PECOS PAC ID: 9436150513 Enrollment ID: I20080219000493 |
Provider Name | Brad H Massey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164537445 PECOS PAC ID: 1254497514 Enrollment ID: I20090311000650 |
Provider Name | Lisa B Gatwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881846681 PECOS PAC ID: 9133270200 Enrollment ID: I20090701000089 |
Provider Name | Judy P Skaggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467688986 PECOS PAC ID: 3274672530 Enrollment ID: I20091125000409 |
Provider Name | Jessica C Magee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932407947 PECOS PAC ID: 0244415404 Enrollment ID: I20110503000591 |
Provider Name | Patricia A Bullock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679862817 PECOS PAC ID: 1557530128 Enrollment ID: I20110816000741 |
Provider Name | Geralynn Morrison |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1710984539 PECOS PAC ID: 9638146897 Enrollment ID: I20120201000610 |
Provider Name | Caron C Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316253115 PECOS PAC ID: 2466612825 Enrollment ID: I20120322000576 |
Provider Name | Ashley K Kirby Ware |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912258450 PECOS PAC ID: 8426295148 Enrollment ID: I20130516000162 |
Provider Name | Andrea Riels- Braswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205184447 PECOS PAC ID: 2860620523 Enrollment ID: I20140102001154 |
Provider Name | Lee Rueben Pace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073811717 PECOS PAC ID: 1759524135 Enrollment ID: I20141203002430 |
Provider Name | Kayla L Perkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558751107 PECOS PAC ID: 1557687217 Enrollment ID: I20150224001931 |
Provider Name | Shawnta Gandy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366851321 PECOS PAC ID: 3577889252 Enrollment ID: I20150225000653 |
Provider Name | Pamela Jane Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417372400 PECOS PAC ID: 9638393580 Enrollment ID: I20150303001552 |
Provider Name | Robin Elizabeth Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689066151 PECOS PAC ID: 5294052908 Enrollment ID: I20150317002245 |
Provider Name | Katie Rush |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891183208 PECOS PAC ID: 6204156821 Enrollment ID: I20150528000034 |
Provider Name | April Vancleve Frierson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033506837 PECOS PAC ID: 6305157439 Enrollment ID: I20150616002367 |
Provider Name | Garrett L Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760865216 PECOS PAC ID: 9638485923 Enrollment ID: I20150901002293 |
Provider Name | Kristen Reeves Ingram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689055089 PECOS PAC ID: 4880901792 Enrollment ID: I20150909002304 |
Provider Name | Greg Mccloud |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306215298 PECOS PAC ID: 6901195882 Enrollment ID: I20160516002283 |
Provider Name | Jonathan B Whitehead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720430572 PECOS PAC ID: 1052604188 Enrollment ID: I20160726002813 |
Provider Name | Kelly E Day |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386196277 PECOS PAC ID: 7315221272 Enrollment ID: I20170221002735 |
Provider Name | Micah A Ladner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285187930 PECOS PAC ID: 0749566511 Enrollment ID: I20170410001168 |
Provider Name | Jennifer James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578084703 PECOS PAC ID: 9739459967 Enrollment ID: I20170721000191 |
Provider Name | Richard C Calderone |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215340286 PECOS PAC ID: 3870818537 Enrollment ID: I20170818001931 |
Provider Name | Rasheeda C Hall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114280591 PECOS PAC ID: 0345483004 Enrollment ID: I20171005001983 |
Provider Name | Natalie Kate Tolar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427520048 PECOS PAC ID: 8628317187 Enrollment ID: I20190227000962 |
Provider Name | Martha K Harrington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518445642 PECOS PAC ID: 9537493846 Enrollment ID: I20190620000280 |
Provider Name | Joshua D Ledford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225671456 PECOS PAC ID: 2668806191 Enrollment ID: I20191216002627 |
Provider Name | Aimmee R Chestang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437797602 PECOS PAC ID: 0446686299 Enrollment ID: I20200214000915 |
Provider Name | Jessica Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508406802 PECOS PAC ID: 0648694604 Enrollment ID: I20200723000453 |
Provider Name | Courtney Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891312948 PECOS PAC ID: 5698199479 Enrollment ID: I20200727002195 |
Provider Name | Michael Schepemaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952993743 PECOS PAC ID: 1850708983 Enrollment ID: I20210407002058 |
Provider Name | Tatum Mayfield Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124632187 PECOS PAC ID: 5799181806 Enrollment ID: I20210914003116 |
Provider Name | Sherry D Harper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720664741 PECOS PAC ID: 0547650194 Enrollment ID: I20211214001423 |
Provider Name | Faith Anne Pearson Crosby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043977507 PECOS PAC ID: 8325439755 Enrollment ID: I20211220001342 |
Provider Name | Nadia S Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689345506 PECOS PAC ID: 3870987787 Enrollment ID: I20220218000291 |
Provider Name | Erika D Redd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902471006 PECOS PAC ID: 8426438433 Enrollment ID: I20220708000849 |
Provider Name | Patricia K Garner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700586948 PECOS PAC ID: 6406220003 Enrollment ID: I20230322001566 |
Provider Name | Rechendia Carpenter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740972033 PECOS PAC ID: 0244698009 Enrollment ID: I20230627000542 |
Provider Name | Teresa S Monroe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881388684 PECOS PAC ID: 9931568110 Enrollment ID: I20230706001434 |
Provider Name | Ekeista Keaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881478584 PECOS PAC ID: 8224482245 Enrollment ID: I20230925003682 |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Old Williamsburg Road, Bassfield, MS 39421 Phone: 601-825-7280 Fax: 601-825-8130 | |
Regional Medical Clinic, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4297 Highway 42, Bassfield, MS 39421 Phone: 601-943-5060 Fax: 601-943-5888 |