Toccopola Family Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Toccopola, Mississippi. The current practice location for Toccopola Family Medical Clinic is 7908 Hwy 334, Toccopola, Mississippi. For appointments, you can reach them via phone at
(662) 281-8020. The mailing address for Toccopola Family Medical Clinic is P.o. Box 389, Toccopola, Mississippi and phone number is (662) 281-8003.
Toccopola Family Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1780715912. 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
(662) 281-8020.
Primary Care Clinic Profile
| Full Name | Toccopola Family Medical Clinic |
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| Speciality | Clinic/Center |
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| Location | 7908 Hwy 334, Toccopola, Mississippi |
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| Authorized Official Name and Position | Michelle Poole Roberts (OWNER) |
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| Authorized Official Contact | 6622818003 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Toccopola Family Medical Clinic
P.o. Box 389
Toccopola
MS 38874-0389
Ph: (662) 281-8003 | Toccopola Family Medical Clinic
7908 Hwy 334
Toccopola
MS 38874-0389
Ph: (662) 281-8020 |
NPI Details:
| NPI Number | 1780715912 |
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| Provider Enumeration Date | 03/08/2007 |
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| Last Update Date | 07/21/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3274805023 |
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| Medicare Enrollment ID | O20170815000763 |
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Medical Identifiers
Medical identifiers for Toccopola Family Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780715912 | NPI | - | NPPES |
| 09014299 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R549002 (Mississippi) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Toccopola Family Medical Clinic acts as a billing entity for following providers:
| Provider Name | Michelle Poole Roberts |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1861815623
PECOS PAC ID: 2264599190
Enrollment ID: I20160627001135 |
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