| Lucedale Family Medical Clinic | |
|
223 Winter St Ste D Lucedale MS 39452-6078 | |
| (601) 791-5012 | |
| (601) 791-5013 |
| Full Name | Lucedale Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 223 Winter St Ste D, Lucedale, Mississippi |
| Authorized Official Name and Position | Bridgot Peters (BILLING DIRECTOR) |
| Authorized Official Contact | 2514457618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucedale Family Medical Clinic 6577 Creel Rd Theodore AL 36582-3857 Ph: (251) 725-8455 | Lucedale Family Medical Clinic 223 Winter St Ste D Lucedale MS 39452-6078 Ph: (601) 791-5012 |
| NPI Number | 1992409262 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 05/10/2024 |
| Medicare PECOS PAC ID | 5890157739 |
|---|---|
| Medicare Enrollment ID | O20230809003557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992409262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Norman Mel Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184961054 PECOS PAC ID: 7810133055 Enrollment ID: I20130415000121 |
| Provider Name | Michael Ann Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750954327 PECOS PAC ID: 4183015050 Enrollment ID: I20250306000849 |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Church St, Lucedale, MS 39452 Phone: 228-374-2494 | |
Community Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 | |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5204 Highway 26 W, Lucedale, MS 39452 Phone: 228-374-2494 | |
Eugene Kevin O'hea Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 697 Manila St, Lucedale, MS 39452 Phone: 601-947-3377 Fax: 601-947-3380 | |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Mable St, Lucedale, MS 39452 Phone: 228-374-2494 | |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14159 Highway 26 W, Lucedale, MS 39452 Phone: 228-374-2494 | |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6165 Highway 613, Lucedale, MS 39452 Phone: 228-374-2494 |