<unavail> in Philadelphia, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Philadelphia, Mississippi. The current practice location for is 1106 Central Dr, Philadelphia, Mississippi. For appointments, you can reach them via phone at (601) 656-6921. The mailing address for is Dept. 3023, Po Box 1000, Memphis, Tennessee and phone number is (601) 213-3010.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1275873572. 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) 656-6921.

Contact Information


	1106 Central Dr Philadelphia MS 39350-8972
	(601) 656-6921
	(601) 656-0381

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1106 Central Dr, Philadelphia, Mississippi
Authorized Official Name and Position	Don Larkin Kennedy (REGIONAL CEO)
Authorized Official Contact	6017039614
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dept. 3023, Po Box 1000 Memphis TN 38148-3023 Ph: (601) 213-3010	1106 Central Dr Philadelphia MS 39350-8972 Ph: (601) 656-6921

NPI Details:

NPI Number	1275873572
Provider Enumeration Date	02/22/2013
Last Update Date	12/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	7214991769
Medicare Enrollment ID	O20130430000085

Medical Identifiers

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

Identifier	Type	State	Issuer
1275873572	NPI	-	NPPES
007723745	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Philadelphia, MS

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1056 Holland Ave, Philadelphia, MS 39350 Phone: 601-656-8545 Fax: 601-656-3985
J. Todd Willis, Md Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Avenue, Suite 104, Philadelphia, MS 39350 Phone: 601-656-0010 Fax: 601-656-0313
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Big Creek Cir, Philadelphia, MS 39350 Phone: 601-656-2211 Fax: 601-663-7721

- Medicare Primary Care in Philadelphia, MS