- Medicare Primary Care in Beaumont, MS

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Beaumont, Mississippi. The current practice location for is 1300 Beaumont Brooklyn Rd, Beaumont, Mississippi. For appointments, you can reach them via phone at (601) 545-8700. The mailing address for is Po Box 1729, Hattiesburg, Mississippi and phone number is (601) 545-8700.

is licensed to practice in Mississippi (license number ). The clinic also participates in the medicare program and its NPI number is 1003852203. 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) 545-8700.

Contact Information

1300 Beaumont Brooklyn Rd
Beaumont
MS 39423-2233
(601) 545-8700
(601) 582-5461

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1300 Beaumont Brooklyn Rd, Beaumont, Mississippi
Authorized Official Name and PositionKaye Ray (CEO)
Authorized Official Contact6015458700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 1729
Hattiesburg
MS 39403-1729

Ph: (601) 545-8700
1300 Beaumont Brooklyn Rd
Beaumont
MS 39423-2233

Ph: (601) 545-8700

NPI Details:

NPI Number1003852203
Provider Enumeration Date06/22/2006
Last Update Date09/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2466342605
Medicare Enrollment IDO20050324001248

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003852203NPI-NPPES
01873344MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Mississippi)Primary

Reviews and Comments


Clinic/Center in Beaumont, MS


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1411 Bradley Ave, Beaumont, MS 39423
Phone: 601-784-3922    Fax: 601-784-3755

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.