Primary Care Clinic Of Ripley Pa | |
460 W Bankhead St New Albany MS 38652-3319 | |
(662) 539-7444 | |
(662) 837-3760 |
Full Name | Primary Care Clinic Of Ripley Pa |
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Speciality | Family Medicine |
Location | 460 W Bankhead St, New Albany, Mississippi |
Authorized Official Name and Position | Troy Reuben Cappleman (AO) |
Authorized Official Contact | 6625397444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Clinic Of Ripley Pa 460 W Bankhead St New Albany MS 38652-3319 Ph: (662) 539-7444 | Primary Care Clinic Of Ripley Pa 460 W Bankhead St New Albany MS 38652-3319 Ph: (662) 539-7444 |
NPI Number | 1356312623 |
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Provider Enumeration Date | 01/27/2006 |
Last Update Date | 08/12/2024 |
Medicare PECOS PAC ID | 5698761302 |
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Medicare Enrollment ID | O20040420001420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356312623 | NPI | - | NPPES |
09015964 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
Provider Name | Susan D Cappleman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639140718 PECOS PAC ID: 7012991342 Enrollment ID: I20040615001010 |
Provider Name | Sherie R Norton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598865362 PECOS PAC ID: 2365493467 Enrollment ID: I20050207000336 |
Provider Name | Troy R Cappleman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952371387 PECOS PAC ID: 7416943139 Enrollment ID: I20080605000825 |
Provider Name | Charles M Elliott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063482404 PECOS PAC ID: 3779651997 Enrollment ID: I20081001000292 |
Provider Name | Sarah E French |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1730386608 PECOS PAC ID: 4981860657 Enrollment ID: I20120724000850 |
Provider Name | Paisleigh Gunn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972389062 PECOS PAC ID: 6901253756 Enrollment ID: I20231115003457 |
Provider Name | Sabrina Ann Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649731621 PECOS PAC ID: 8325486897 Enrollment ID: I20240403000160 |
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