Booneville Chiropractic Clinic, P.a. - Medicare Primary Care in Booneville, MS

Booneville Chiropractic Clinic, P.a. is a medicare enrolled primary clinic (Clinic/center) in Booneville, Mississippi. The current practice location for Booneville Chiropractic Clinic, P.a. is 105b N 2nd St, Booneville, Mississippi. For appointments, you can reach them via phone at (662) 728-7414. The mailing address for Booneville Chiropractic Clinic, P.a. is 105b N 2nd St, Booneville, Mississippi and phone number is (662) 728-7414.

Booneville Chiropractic Clinic, P.a. is licensed to practice in Mississippi (license number 885). The clinic also participates in the medicare program and its NPI number is 1154697910. 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) 728-7414.

Contact Information

Booneville Chiropractic Clinic, P.a.
105b N 2nd St
Booneville
MS 38829-3207
(662) 728-7414
(662) 728-4163

Map and Direction


Primary Care Clinic Profile

Full NameBooneville Chiropractic Clinic, P.a.
SpecialityClinic/Center
Location105b N 2nd St, Booneville, Mississippi
Authorized Official Name and PositionDerrick Roy Blythe (PRESIDENT)
Authorized Official Contact6627287414
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Booneville Chiropractic Clinic, P.a.
105b N 2nd St
Booneville
MS 38829-3207

Ph: (662) 728-7414
Booneville Chiropractic Clinic, P.a.
105b N 2nd St
Booneville
MS 38829-3207

Ph: (662) 728-7414

NPI Details:

NPI Number1154697910
Provider Enumeration Date03/27/2012
Last Update Date03/27/2012

Medicare PECOS Information:

Medicare PECOS PAC ID0648431676
Medicare Enrollment IDO20120418000293

Medical Identifiers

Medical identifiers for Booneville Chiropractic Clinic, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154697910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 885 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Booneville Chiropractic Clinic, P.a. acts as a billing entity for following providers:
Provider NameDerrick R Blythe
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1851473227
PECOS PAC ID: 6507888088
Enrollment ID: I20051227000538

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.