| Anazia Medical Ii, Inc. | |
|
1264 Main Street Suite A Fayette MS 39069 | |
| (601) 786-0390 | |
| (601) 786-0730 |
| Full Name | Anazia Medical Ii, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1264 Main Street, Fayette, Mississippi |
| Authorized Official Name and Position | Victor O Anazia (CEO) |
| Authorized Official Contact | 6012490013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anazia Medical Ii, Inc. 120 5th Avenue Mccomb MS 39648 Ph: (601) 249-0013 | Anazia Medical Ii, Inc. 1264 Main Street Suite A Fayette MS 39069 Ph: (601) 786-0390 |
| NPI Number | 1174627459 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 10/29/2010 |
| Medicare PECOS PAC ID | 4688644321 |
|---|---|
| Medicare Enrollment ID | O20040729000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174627459 | NPI | - | NPPES |
| 07753329 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14997 (Mississippi) | Primary |
| Provider Name | Victor O Anazia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245232792 PECOS PAC ID: 3476447996 Enrollment ID: I20040216000222 |
| Provider Name | Harry G Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346268786 PECOS PAC ID: 8527124239 Enrollment ID: I20090819000630 |
Bounds Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main St Ste A, Fayette, MS 39069 Phone: 601-809-0882 Fax: 601-809-0883 | |
Prime Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Community Dr, Fayette, MS 39069 Phone: 601-786-8655 Fax: 601-786-8656 | |
Emergency Room Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main Street, Fayette, MS 39069 Phone: 601-786-3401 Fax: 601-786-3400 | |
Healsafe Wound Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1770 Highway 33, Fayette, MS 39069 Phone: 601-431-6040 | |
Jefferson Comprehensive Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 468 Highway 33, Fayette, MS 39069 Phone: 601-786-3475 Fax: 601-786-9980 | |
Jefferson County Hospital Er Physician Claims Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main Street, Fayette, MS 39069 Phone: 601-786-3401 Fax: 601-786-3400 |