| 149 Pediatric And Family Clinic | |
|
376 Simpson Highway 149 Ste 300 Magee MS 39111-3569 | |
| (601) 849-6440 | |
| (601) 849-1332 |
| Full Name | 149 Pediatric And Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 376 Simpson Highway 149 Ste 300, Magee, Mississippi |
| Authorized Official Name and Position | John P Lee (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 6014694151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 149 Pediatric And Family Clinic Po Box D Forest MS 39074-0558 Ph: (601) 469-4151 | 149 Pediatric And Family Clinic 376 Simpson Highway 149 Ste 300 Magee MS 39111-3569 Ph: (601) 849-6440 |
| NPI Number | 1316557986 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 0840197232 |
|---|---|
| Medicare Enrollment ID | O20210224002655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316557986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Simpson Highway 49, Magee, MS 39111 Phone: 601-439-1420 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 820 Johnson Lockhart Drive North East, Magee, MS 39111 Phone: 601-825-7280 Fax: 601-825-8130 | |
Ascentium Healthcare Resources I Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Pioneer Way, Magee, MS 39111 Phone: 601-849-6440 Fax: 601-849-1332 | |
Family Care Magee Tuscan Towers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 360 Simpson Highway 149 Ste 370, Magee, MS 39111 Phone: 601-849-1530 | |
Pioneer Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 8th Ave Sw, Magee, MS 39111 Phone: 601-849-6440 Fax: 601-849-7557 | |
Family Care Magee Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 360 Simpson Highway 149 Ste 170, Magee, MS 39111 Phone: 601-439-0635 |