| Chase Clinic | |
|
334-a Ms 15 S Pontotoc MS 38863 | |
| (662) 297-6949 | |
| Not Available |
| Full Name | Chase Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 334-a Ms 15 S, Pontotoc, Mississippi |
| Authorized Official Name and Position | Mason Hester (OWNER) |
| Authorized Official Contact | 6625868081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Clinic 334-a Ms 15 S Pontotoc MS 38863 | Chase Clinic 334-a Ms 15 S Pontotoc MS 38863 Ph: (662) 297-6949 |
| NPI Number | 1295628105 |
|---|---|
| Provider Enumeration Date | 05/30/2025 |
| Last Update Date | 04/13/2026 |
| Certification Date | 04/13/2026 |
| Medicare PECOS PAC ID | 2769950492 |
|---|---|
| Medicare Enrollment ID | O20260511002844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295628105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Justin Washington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740800432 PECOS PAC ID: 6507393014 Enrollment ID: I20241223001681 |
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