| Leflore Specialty Clinic | |
|
1401 River Rd Greenwood MS 38930-4030 | |
| (662) 451-7881 | |
| Not Available |
| Full Name | Leflore Specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 River Rd, Greenwood, Mississippi |
| Authorized Official Name and Position | Dawne Holmes (CFO) |
| Authorized Official Contact | 6624597119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leflore Specialty Clinic Po Box 1410 Greenwood MS 38935-1410 Ph: (662) 459-7881 | Leflore Specialty Clinic 1401 River Rd Greenwood MS 38930-4030 Ph: (662) 451-7881 |
| NPI Number | 1205805918 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Medicare PECOS PAC ID | 1850332057 |
|---|---|
| Medicare Enrollment ID | O20050518000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205805918 | NPI | - | NPPES |
| Provider Name | Rohit Panchal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932178688 PECOS PAC ID: 5193767465 Enrollment ID: I20050526000210 |
| Provider Name | Abhash Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457320129 PECOS PAC ID: 0345267100 Enrollment ID: I20051031000902 |
| Provider Name | Joe M Pressler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164625448 PECOS PAC ID: 0749467033 Enrollment ID: I20110614000795 |
| Provider Name | Rachael Faught |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043522352 PECOS PAC ID: 0446574313 Enrollment ID: I20160816001196 |
| Provider Name | Andrew John Bartlett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477932770 PECOS PAC ID: 5597071720 Enrollment ID: I20180413000921 |
| Provider Name | Angela Seto Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154973345 PECOS PAC ID: 6204166986 Enrollment ID: I20190923002532 |
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