Winston Medical Clinic Llc - Medicare Primary Care in Louisville, MS

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Winston Medical Clinic Llc is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Louisville, Mississippi. The current practice location for Winston Medical Clinic Llc is 923 S Church Ave, Louisville, Mississippi. For appointments, you can reach them via phone at (662) 773-3503. The mailing address for Winston Medical Clinic Llc is P O Box 470, Louisville, Mississippi and phone number is (662) 773-3503.

Winston Medical Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629417324. 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) 773-3503.

Contact Information

Winston Medical Clinic Llc
923 S Church Ave
Louisville
MS 39339
(662) 773-3503
(662) 446-1039

Map and Direction


Primary Care Clinic Profile

Full NameWinston Medical Clinic Llc
SpecialityClinic/Center
Location923 S Church Ave, Louisville, Mississippi
Authorized Official Name and PositionDebbie J Fryery (DIRECTOR OF CLINIC OPERATIONS)
Authorized Official Contact6624461972
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Winston Medical Clinic Llc
P O Box 470
Louisville
MS 39339

Ph: (662) 773-3503		Winston Medical Clinic Llc
923 S Church Ave
Louisville
MS 39339

Ph: (662) 773-3503

NPI Details:

NPI Number1629417324
Provider Enumeration Date06/17/2013
Last Update Date01/19/2017

Medicare PECOS Information:

Medicare PECOS PAC ID7214170968
Medicare Enrollment IDO20130827000842

Medical Identifiers

Medical identifiers for Winston Medical Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629417324NPI-NPPES
01689827MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (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. Winston Medical Clinic Llc acts as a billing entity for following providers:
Provider NameMichael L Ard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962484899
PECOS PAC ID: 2365523875
Enrollment ID: I20080122000693
Provider NameHeather M Gilmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477706323
PECOS PAC ID: 3678638509
Enrollment ID: I20090210000264
Provider NameEmily Davis Perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700019478
PECOS PAC ID: 4385783646
Enrollment ID: I20091125000399
Provider NameAshley Thomas Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588991731
PECOS PAC ID: 8325180755
Enrollment ID: I20100125000006
Provider NameJennifer Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649602301
PECOS PAC ID: 3870728090
Enrollment ID: I20131024000913
Provider NameJames Dustin Gentry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568756252
PECOS PAC ID: 8729227103
Enrollment ID: I20150223000818
Provider NameJessica C Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205355765
PECOS PAC ID: 6901162585
Enrollment ID: I20171115000690
Provider NameHayden Stokes Kilgore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386119295
PECOS PAC ID: 9931444668
Enrollment ID: I20181227000492
Provider NameKali Dempsey Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902379795
PECOS PAC ID: 2769724723
Enrollment ID: I20190424000318
Provider NameLaken Nicole Fulcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295378339
PECOS PAC ID: 0840629200
Enrollment ID: I20200406002161
Provider NameEric Leron Yarbrough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144897471
PECOS PAC ID: 6002216769
Enrollment ID: I20210617000153
Provider NameMaribeth Barfield Hillhouse
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255991899
PECOS PAC ID: 5092041004
Enrollment ID: I20221107000086
Provider NameErin Burton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306612775
PECOS PAC ID: 1153771381
Enrollment ID: I20231229000815

Reviews and Comments


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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.