| Premier Foot Clinic Pc | |
| 705 Highway 80 W, Clinton, MS 39056-4103 | |
| (601) 926-1500 | |
| (601) 926-1502 | 
| Full Name | Premier Foot Clinic Pc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 705 Highway 80 W, Clinton, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790840080 | NPI | - | NPPES | 
| 06981282 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 80151 (Mississippi) | Primary | 
| Provider Name | Stefanie M Thomas | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1497864698 PECOS PAC ID: 9335131739 Enrollment ID: I20040405000417 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Premier Foot Clinic Pc 705 Highway 80 W, Clinton, MS 39056-4103 Ph: (601) 926-1500 | Premier Foot Clinic Pc 705 Highway 80 W, Clinton, MS 39056-4103 Ph: (601) 926-1500 | 
| Stefanie Monique Thomas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 705 Hwy 80 West, Clinton, MS 39056 Phone: 601-926-1500 Fax: 601-926-1502 | |
| Dr. Kenneth Farrish, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 705 Highway 80 W, Clinton, MS 39056 Phone: 601-587-1367 Fax: 601-373-2879 |