Centerwell Senior Primary Care-biloxi - Medicare Primary Care in Biloxi, MS

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Centerwell Senior Primary Care-biloxi is a medicare enrolled primary clinic (Internal Medicine) in Biloxi, Mississippi. The current practice location for Centerwell Senior Primary Care-biloxi is 2650 Beach Blvd Ste 40, Biloxi, Mississippi. For appointments, you can reach them via phone at (228) 273-4611. The mailing address for Centerwell Senior Primary Care-biloxi is 6101 Blue Lagoon Dr Ste 200, Miami, Florida and phone number is (305) 500-2000.

Centerwell Senior Primary Care-biloxi is licensed to practice in NU (license number ). The clinic also participates in the medicare program and its NPI number is 1841902830. 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 (228) 273-4611.

Contact Information

Centerwell Senior Primary Care-biloxi
2650 Beach Blvd Ste 40
Biloxi
MS 39531-4517
(228) 273-4611
(877) 258-1526

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care-biloxi
SpecialityInternal Medicine
Location2650 Beach Blvd Ste 40, Biloxi, Mississippi
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care-biloxi
6101 Blue Lagoon Dr Ste 200
Miami
FL 33126-3168

Ph: (305) 500-2000		Centerwell Senior Primary Care-biloxi
2650 Beach Blvd Ste 40
Biloxi
MS 39531-4517

Ph: (228) 273-4611

NPI Details:

NPI Number1841902830
Provider Enumeration Date12/21/2022
Last Update Date07/03/2024
Certification Date07/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0143694190
Medicare Enrollment IDO20230315000489

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care-biloxi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841902830NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (NU)Secondary
207R00000XInternal Medicine (NU)Primary
208D00000XGeneral Practice (NU)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centerwell Senior Primary Care-biloxi acts as a billing entity for following providers:
Provider NameLara J Teal Clement
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912933672
PECOS PAC ID: 9032198858
Enrollment ID: I20040715000949
Provider NamePatrick S Bynum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437179967
PECOS PAC ID: 4486610151
Enrollment ID: I20041203000870
Provider NameEarl L Mahaffey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689692972
PECOS PAC ID: 5799790978
Enrollment ID: I20060208000758
Provider NameJohn D Belknap
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124180567
PECOS PAC ID: 5597851972
Enrollment ID: I20071017000043
Provider NameRasheda Jordan Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790072288
PECOS PAC ID: 1254577935
Enrollment ID: I20130425000223
Provider NameAshleigh Carlisle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467799494
PECOS PAC ID: 7618190786
Enrollment ID: I20140516001195
Provider NameMichael Bookhardt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881034254
PECOS PAC ID: 3870817778
Enrollment ID: I20160929000145
Provider NameLauren Gaters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861969305
PECOS PAC ID: 4385998046
Enrollment ID: I20181115000941
Provider NameImari Jerrell Creer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316419245
PECOS PAC ID: 5294069738
Enrollment ID: I20190702003610
Provider NameAshley Croom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295396661
PECOS PAC ID: 5496183170
Enrollment ID: I20200311000945
Provider NameTracy S Sanford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346356862
PECOS PAC ID: 3678653508
Enrollment ID: I20211210002412
Provider NameMitchell a Sanford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346726098
PECOS PAC ID: 7719302975
Enrollment ID: I20211213002807
Provider NameTimothy H Sanford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992819197
PECOS PAC ID: 9335229269
Enrollment ID: I20211213002828
Provider NameErika D Redd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902471006
PECOS PAC ID: 8426438433
Enrollment ID: I20220708000849
Provider NameLexi K Morgenstern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942938485
PECOS PAC ID: 6002284502
Enrollment ID: I20221114002942
Provider NameEarl Kyle Magee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508887977
PECOS PAC ID: 9537152475
Enrollment ID: I20230315000600
Provider NameMichaela Cheyenne Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386269629
PECOS PAC ID: 3476930793
Enrollment ID: I20230413002675
Provider NameColleen Ann Phillips
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114532314
PECOS PAC ID: 1951777184
Enrollment ID: I20230725004233
Provider NameMadison Talton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194284430
PECOS PAC ID: 9234544750
Enrollment ID: I20240814003205
Provider NameDenise D Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013743152
PECOS PAC ID: 1153852694
Enrollment ID: I20241008001709
Provider NameMarcus Cox
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922298868
PECOS PAC ID: 4486626249
Enrollment ID: I20250527000898
Provider NamePei-chun Mcgregor
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023231073
PECOS PAC ID: 5890919906
Enrollment ID: I20260428001723
Provider NameRoger Kerzner
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1255385589
PECOS PAC ID: 3072517804
Enrollment ID: I20260513001124
Provider NameGeorge Adesina
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457642647
PECOS PAC ID: 4981912086
Enrollment ID: I20260514003672
Provider NameAnjori Dunbar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720387269
PECOS PAC ID: 4587962329
Enrollment ID: I20260519000735
Provider NameSaddad Toor
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1649253998
PECOS PAC ID: 9931247855
Enrollment ID: I20260612001714
Provider NameHelene Glassberg
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1245228139
PECOS PAC ID: 2668378449
Enrollment ID: I20260618000375
Provider NameAmbreen Mohamed
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1437443637
PECOS PAC ID: 4183944788
Enrollment ID: I20260627000195

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.