Brain Group | |
608 Delaware Avenue, Mccomb, Mississippi, United States Mccomb MS 39648 | |
(601) 324-3109 | |
(601) 324-3105 |
Full Name | Brain Group |
---|---|
Speciality | Clinic/Center |
Location | 608 Delaware Avenue, Mccomb, Mississippi, United States, Mccomb, Mississippi |
Authorized Official Name and Position | Mark J Mcneil (CFO) |
Authorized Official Contact | 6013243109 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brain Group 608 Delaware Ave Mccomb MS 39648-4025 Ph: (601) 324-3109 | Brain Group 608 Delaware Avenue, Mccomb, Mississippi, United States Mccomb MS 39648 Ph: (601) 324-3109 |
NPI Number | 1790476737 |
---|---|
Provider Enumeration Date | 05/19/2023 |
Last Update Date | 11/15/2023 |
Medicare PECOS PAC ID | 2961859756 |
---|---|
Medicare Enrollment ID | O20231116000853 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790476737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Cycily R Denman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760092183 PECOS PAC ID: 8325468242 Enrollment ID: I20201015000296 |
Provider Name | Mark J Mcneil |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780050765 PECOS PAC ID: 9032520093 Enrollment ID: I20201123001873 |
Provider Name | Mary Lindsey Lumley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093329633 PECOS PAC ID: 3274944764 Enrollment ID: I20201207000444 |
Provider Name | Danielle Josephine Dronet |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588968887 PECOS PAC ID: 7214172196 Enrollment ID: I20231116001395 |
Provider Name | Karen Elaine Jahn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578247219 PECOS PAC ID: 0244688646 Enrollment ID: I20231125000175 |
Provider Name | Sharon L Newton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548007933 PECOS PAC ID: 6305379462 Enrollment ID: I20241028002189 |
Hands Of Purpose Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Georgia Ave, Mccomb, MS 39648 Phone: 601-324-3057 Fax: 601-980-0360 | |
Statcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 Delaware Ave, Mccomb, MS 39648 Phone: 601-250-1122 Fax: 601-250-0290 | |
Compassionate Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Marion Ave, Mccomb, MS 39648 Phone: 407-558-0270 | |
Anazia Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 5th Avenue, Mccomb, MS 39648 Phone: 601-249-0013 Fax: 601-249-0592 | |