The Clarkdale Clinic, Llc - Medicare Primary Care in Meridian, MS

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The Clarkdale Clinic, Llc is a medicare enrolled primary clinic (Clinic/center) in Meridian, Mississippi. The current practice location for The Clarkdale Clinic, Llc is 6905 Highway 145 S, Meridian, Mississippi. For appointments, you can reach them via phone at (601) 696-6736. The mailing address for The Clarkdale Clinic, Llc is 4715 24th Pl, Meridian, Mississippi and phone number is (601) 696-6736.

The Clarkdale Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790284693. 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) 696-6736.

Contact Information

The Clarkdale Clinic, Llc
6905 Highway 145 S
Meridian
MS 39301-9771
(601) 696-6736
(601) 696-6778

Map and Direction


Primary Care Clinic Profile

Full NameThe Clarkdale Clinic, Llc
SpecialityClinic/Center
Location6905 Highway 145 S, Meridian, Mississippi
Authorized Official Name and PositionWanda Pierce (CREDENTIALING SPECIALIST)
Authorized Official Contact6017818677
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Clarkdale Clinic, Llc
4715 24th Pl
Meridian
MS 39305-1686

Ph: (601) 696-6736		The Clarkdale Clinic, Llc
6905 Highway 145 S
Meridian
MS 39301-9771

Ph: (601) 696-6736

NPI Details:

NPI Number1790284693
Provider Enumeration Date02/06/2018
Last Update Date02/06/2018

Medicare PECOS Information:

Medicare PECOS PAC ID5597027466
Medicare Enrollment IDO20180313002176

Medical Identifiers

Medical identifiers for The Clarkdale Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790284693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Clarkdale Clinic, Llc acts as a billing entity for following providers:
Provider NameAndrea D. Goodwin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285616870
PECOS PAC ID: 8325933211
Enrollment ID: I20040219000216
Provider NameJessica Taylor Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760627111
PECOS PAC ID: 4183787567
Enrollment ID: I20090112000210
Provider NameChasity M Sisson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992983829
PECOS PAC ID: 5890983381
Enrollment ID: I20150401000450
Provider NamePaige L Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972047264
PECOS PAC ID: 5294003190
Enrollment ID: I20170619000681
Provider NameAlicia Dubose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588036735
PECOS PAC ID: 8325319692
Enrollment ID: I20170804000166
Provider NameRobbyn Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871017855
PECOS PAC ID: 4082987888
Enrollment ID: I20170830000234
Provider NameGary Adam Mcpherson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306364336
PECOS PAC ID: 0345515110
Enrollment ID: I20171004000749
Provider NameAshley Vandewalker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104310309
PECOS PAC ID: 4587916556
Enrollment ID: I20181003001079
Provider NameBayleigh Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558828970
PECOS PAC ID: 0143556787
Enrollment ID: I20190719001959
Provider NameBrandon Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073091963
PECOS PAC ID: 2567798077
Enrollment ID: I20190722001754
Provider NameKaitlyn N Bonner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740811009
PECOS PAC ID: 9436580586
Enrollment ID: I20200506000509
Provider NameAshley Hatcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164184248
PECOS PAC ID: 3072901602
Enrollment ID: I20211101000318

Reviews and Comments


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Gmhc, Inc./mpsd G W Carver Community School Base Clinic
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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.