| 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: Not Enrolled in Medicare Practice Location: 705 Highway 80 W, Clinton, MS 39056 Phone: 601-587-1367 Fax: 601-373-2879 |