| Communicare | |
|
152 Highway 7 S Oxford MS 38655-5392 | |
| (662) 234-7521 | |
| (662) 236-3071 |
| Full Name | Communicare |
|---|---|
| Speciality | Clinic/Center |
| Location | 152 Highway 7 S, Oxford, Mississippi |
| Authorized Official Name and Position | Sandy A Rogers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6622347521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Communicare 152 Highway 7 S Oxford MS 38655-5392 Ph: (662) 234-7521 | Communicare 152 Highway 7 S Oxford MS 38655-5392 Ph: (662) 234-7521 |
| NPI Number | 1558468694 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/07/2017 |
| Medicare PECOS PAC ID | 6103084041 |
|---|---|
| Medicare Enrollment ID | O20120222001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558468694 | NPI | - | NPPES |
| 00018202 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | REG2-AGENCY (Mississippi) | Primary |
| Provider Name | Jorge Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376559468 PECOS PAC ID: 8325095805 Enrollment ID: I20080903000128 |
| Provider Name | Olamide Alabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821453648 PECOS PAC ID: 2769772227 Enrollment ID: I20160613000806 |
| Provider Name | Dianna Forrest Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043679079 PECOS PAC ID: 0143659078 Enrollment ID: I20200329000094 |
| Provider Name | Lisa Hillhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467635185 PECOS PAC ID: 4385042357 Enrollment ID: I20211005001938 |
| Provider Name | Denise Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689813925 PECOS PAC ID: 2163820838 Enrollment ID: I20211011000934 |
| Provider Name | Marecia M Spearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114611209 PECOS PAC ID: 5890157077 Enrollment ID: I20230821001550 |
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