Pravinchandra P. Patel, Md P.c. | |
423 Central Ave Coldwater MS 38618-3915 | |
(662) 622-7011 | |
(662) 622-0257 |
Full Name | Pravinchandra P. Patel, Md P.c. |
---|---|
Speciality | Family Medicine |
Location | 423 Central Ave, Coldwater, Mississippi |
Authorized Official Name and Position | Pravinchandra Patel (DR.) |
Authorized Official Contact | 6626227011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pravinchandra P. Patel, Md P.c. Po Box 1060 Coldwater MS 38618-1060 Ph: (662) 622-7011 | Pravinchandra P. Patel, Md P.c. 423 Central Ave Coldwater MS 38618-3915 Ph: (662) 622-7011 |
NPI Number | 1457527475 |
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Provider Enumeration Date | 04/30/2008 |
Last Update Date | 03/16/2010 |
Medicare PECOS PAC ID | 8325117500 |
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Medicare Enrollment ID | O20080514000023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457527475 | NPI | - | NPPES |
09015376 | Medicaid | MS | |
3963799 | Other | MS | CIGNA |
0004324215 | Other | AETNA | |
00122592 | Other | MS | INDIVIDUAL MEDICAID |
080183850 | Other | MS | RAILROAD MEDICARE |
587274863D | Other | MS | BLUE CROSS BLUE SHIELD |
1124098603 | Other | MS | MEDICARE INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MS 07838 (Mississippi) | Primary |
Provider Name | Pravinchandra P Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124098603 PECOS PAC ID: 4789753963 Enrollment ID: I20080514000021 |
Provider Name | Teresa D. Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922310531 PECOS PAC ID: 8729111497 Enrollment ID: I20100802000292 |
Provider Name | Amit B Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316208093 PECOS PAC ID: 1456675917 Enrollment ID: I20170522001842 |
Provider Name | Blake A Embrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770007452 PECOS PAC ID: 3375899685 Enrollment ID: I20180628001992 |
Provider Name | Audra Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063882280 PECOS PAC ID: 9234448796 Enrollment ID: I20190521000509 |
Provider Name | Jessica Mann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336793751 PECOS PAC ID: 8022441484 Enrollment ID: I20191126001069 |
Provider Name | Joseph Louis Omedeo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003458944 PECOS PAC ID: 5991115826 Enrollment ID: I20201105000118 |
Provider Name | Savannah Milam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063179018 PECOS PAC ID: 7618344771 Enrollment ID: I20221101003393 |
Provider Name | Stacy Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750139630 PECOS PAC ID: 5991248395 Enrollment ID: I20240613001776 |
Pravincha P. Patel, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Central Ave, Coldwater, MS 38618 Phone: 662-622-7011 | |
M. J. Edwards Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 643 W Service Dr, Coldwater, MS 38618 Phone: 662-624-4292 Fax: 662-624-4354 |