Caledonia Community Clinic, Llc - Medicare Primary Care in Caledonia, MS

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Caledonia Community Clinic, Llc is a medicare enrolled primary clinic (Family Medicine) in Caledonia, Mississippi. The current practice location for Caledonia Community Clinic, Llc is 171 South St, Caledonia, Mississippi. For appointments, you can reach them via phone at (662) 855-0080. The mailing address for Caledonia Community Clinic, Llc is Po Box 217, Caledonia, Mississippi and phone number is (662) 251-3451.

Caledonia Community Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619552130. 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) 855-0080.

Contact Information

Caledonia Community Clinic, Llc
171 South St
Caledonia
MS 39740-8587
(662) 855-0080
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCaledonia Community Clinic, Llc
SpecialityFamily Medicine
Location171 South St, Caledonia, Mississippi
Authorized Official Name and PositionLisa Jordan Hudson (FNP-C)
Authorized Official Contact6622513451
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Caledonia Community Clinic, Llc
Po Box 217
Caledonia
MS 39740-0217

Ph: (662) 251-3451		Caledonia Community Clinic, Llc
171 South St
Caledonia
MS 39740-8587

Ph: (662) 855-0080

NPI Details:

NPI Number1619552130
Provider Enumeration Date03/16/2021
Last Update Date03/16/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8426466913
Medicare Enrollment IDO20210422000543

Medical Identifiers

Medical identifiers for Caledonia Community Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619552130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Caledonia Community Clinic, Llc acts as a billing entity for following providers:
Provider NameMerry Casey Carter Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497112403
PECOS PAC ID: 5991000770
Enrollment ID: I20160217000862
Provider NameLisa Jordan Hudson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528577012
PECOS PAC ID: 1456616259
Enrollment ID: I20180529000617
Provider NameErin Whitley Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760028294
PECOS PAC ID: 4284029588
Enrollment ID: I20220324000221

Reviews and Comments


Family Medicine in Caledonia, MS

Pioneer Health Services Of Monroe County, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 771 Main St, Caledonia, MS 39740
Phone: 662-356-4621    

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.