Tunica Medical Clinic | |
1813 U. S. Highway 61 North Tunica MS 38676 | |
(662) 357-0012 | |
(662) 357-0021 |
Full Name | Tunica Medical Clinic |
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Speciality | Clinic/Center |
Location | 1813 U. S. Highway 61 North, Tunica, Mississippi |
Authorized Official Name and Position | Barbara Conway (CLINIC OPERATIONS OFFICER) |
Authorized Official Contact | 6623633224 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tunica Medical Clinic Po Box 789 Tunica MS 38676-0789 Ph: (662) 363-1465 | Tunica Medical Clinic 1813 U. S. Highway 61 North Tunica MS 38676 Ph: (662) 357-0012 |
NPI Number | 1245360148 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 06/18/2018 |
Medicare PECOS PAC ID | 6608898499 |
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Medicare Enrollment ID | O20051221000245 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245360148 | NPI | - | NPPES |
09014044 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | 09014044 (Mississippi) | Primary |
Provider Name | Valerie V Frazier-griffin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063498707 PECOS PAC ID: 6204899917 Enrollment ID: I20041104000354 |
Provider Name | Emily A Hoffmann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477586345 PECOS PAC ID: 5294705067 Enrollment ID: I20050418001117 |
Provider Name | Wilson M Parry |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1124188347 PECOS PAC ID: 9638185101 Enrollment ID: I20060222000113 |
Provider Name | Esther L Dunlap |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215946348 PECOS PAC ID: 5890892079 Enrollment ID: I20070523000198 |
Provider Name | Leon C Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336223734 PECOS PAC ID: 3577667401 Enrollment ID: I20090312000496 |
Provider Name | Rachel E Litterer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740500214 PECOS PAC ID: 4587797329 Enrollment ID: I20100730000844 |
Provider Name | Robynn Elizabeth Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043634744 PECOS PAC ID: 3870715519 Enrollment ID: I20141112001262 |
Provider Name | Kristal Hillie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053720342 PECOS PAC ID: 7012218969 Enrollment ID: I20151217001507 |
Provider Name | Sentorita Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295117091 PECOS PAC ID: 7517276884 Enrollment ID: I20160502002245 |
Provider Name | Kenneth W Hawkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730692914 PECOS PAC ID: 9234499955 Enrollment ID: I20180129000109 |
Provider Name | Sheronda Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720599376 PECOS PAC ID: 0941556880 Enrollment ID: I20180706000503 |
Provider Name | Regina Rodgers Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679076764 PECOS PAC ID: 2769726793 Enrollment ID: I20181203001655 |
Provider Name | Michaeline Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447890298 PECOS PAC ID: 8022444983 Enrollment ID: I20200817003149 |
Provider Name | Shaletha S Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659046399 PECOS PAC ID: 7315330883 Enrollment ID: I20220204000424 |
Provider Name | Ericka Austin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780261867 PECOS PAC ID: 6901290667 Enrollment ID: I20220223002933 |
Tunica County Healthcare Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Highway 61 N, Tunica, MS 38676 Phone: 662-357-0012 Fax: 662-357-0021 | |
Aaron E Henry Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1820 Peabody St, Tunica, MS 38676 Phone: 662-363-3656 Fax: 662-363-3789 | |
Tunica Medical Clinic Infusion Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Highway 61 N Ste A, Tunica, MS 38676 Phone: 662-357-0012 | |
Tunica Rosa Fort School Based Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 744 School St, Tunica, MS 38676 Phone: 662-363-3971 Fax: 662-363-3789 |