Full Name | |
---|---|
Speciality | Family Medicine |
Location | 203 5th Ave S, Amory, Mississippi |
Authorized Official Name and Position | Stephanie Brooke Reeves (OWNER) |
Authorized Official Contact | 6628250987 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
905 9th Ave N Amory MS 38821-1908 Ph: (662) 825-0987 | 203 5th Ave S Amory MS 38821-4216 Ph: (662) 825-0987 |
NPI Number | 1619710696 |
---|---|
Provider Enumeration Date | 06/17/2024 |
Last Update Date | 07/16/2024 |
Medicare PECOS PAC ID | 6709322654 |
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Medicare Enrollment ID | O20240726002869 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619710696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Stephanie Reeves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508335878 PECOS PAC ID: 8820412265 Enrollment ID: I20200720000399 |
Access Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 2nd Ave N, Amory, MS 38821 Phone: 662-256-5658 Fax: 662-651-4687 | |
Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Gilmore Dr, Amory, MS 38821 Phone: 662-256-3564 Fax: 662-256-3996 | |