| Centerwell Senior Primary Care-biloxi | |
|
2650 Beach Blvd Ste 40 Biloxi MS 39531-4517 | |
| (228) 273-4611 | |
| (877) 258-1526 |
| Full Name | Centerwell Senior Primary Care-biloxi |
|---|---|
| Speciality | Internal Medicine |
| Location | 2650 Beach Blvd Ste 40, Biloxi, Mississippi |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-biloxi 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care-biloxi 2650 Beach Blvd Ste 40 Biloxi MS 39531-4517 Ph: (228) 273-4611 |
| NPI Number | 1841902830 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 08/11/2023 |
| Medicare PECOS PAC ID | 0143694190 |
|---|---|
| Medicare Enrollment ID | O20230315000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841902830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Lara J Teal Clement |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912933672 PECOS PAC ID: 9032198858 Enrollment ID: I20040715000949 |
| Provider Name | Lauren Gaters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861969305 PECOS PAC ID: 4385998046 Enrollment ID: I20181115000941 |
| Provider Name | Ashley Croom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295396661 PECOS PAC ID: 5496183170 Enrollment ID: I20200311000945 |
| Provider Name | Mitchell A Sanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346726098 PECOS PAC ID: 7719302975 Enrollment ID: I20211213002807 |
| Provider Name | Timothy H Sanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992819197 PECOS PAC ID: 9335229269 Enrollment ID: I20211213002828 |
| Provider Name | Earl Kyle Magee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508887977 PECOS PAC ID: 9537152475 Enrollment ID: I20230315000600 |
| Provider Name | Michaela Cheyenne Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386269629 PECOS PAC ID: 3476930793 Enrollment ID: I20230413002675 |
| Provider Name | Colleen Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114532314 PECOS PAC ID: 1951777184 Enrollment ID: I20230725004233 |
Pass Road Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2771 Pass Rd, Suite B, Biloxi, MS 39531 Phone: 228-385-4645 Fax: 228-385-4695 | |
Healthstop Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Pass Rd, Biloxi, MS 39531 Phone: 228-207-9967 Fax: 228-273-1532 | |
Khaled A Rikabi, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Debuys Rd., 215, Biloxi, MS 39531 Phone: 228-594-6484 Fax: 228-594-6494 | |
Regional Digestive Specialists, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15012 Lemoyne Blvd, Biloxi, MS 39532 Phone: 228-392-5787 Fax: 228-354-9169 | |
Ochsner Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2781 C T Switzer Sr Dr Ste 302, Biloxi, MS 39531 Phone: 228-388-4816 Fax: 228-388-5906 | |
Painstop Spine Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Debuys Rd, Biloxi, MS 39531 Phone: 228-273-4096 Fax: 228-594-1765 | |
Medical Analysis Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Division St, Biloxi, MS 39530 Phone: 228-388-2599 Fax: 228-388-4157 |