| Madden Medical Clinic Llc | |
|
1071 E Franklin St Carthage MS 39051-3601 | |
| (601) 267-4562 | |
| (601) 267-4589 |
| Full Name | Madden Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1071 E Franklin St, Carthage, Mississippi |
| Authorized Official Name and Position | Benita Chamblee (OFFICE MANAGER) |
| Authorized Official Contact | 6012674562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madden Medical Clinic Llc Po Box 435 Carthage MS 39051-0435 Ph: (601) 267-4562 | Madden Medical Clinic Llc 1071 E Franklin St Carthage MS 39051-3601 Ph: (601) 267-4562 |
| NPI Number | 1114099439 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 07/21/2011 |
| Medicare PECOS PAC ID | 4880663863 |
|---|---|
| Medicare Enrollment ID | O20040927000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114099439 | NPI | - | NPPES |
| 09014124 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David Lawrence Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346359197 PECOS PAC ID: 7113838715 Enrollment ID: I20040928000103 |
| Provider Name | Manuel Lim Ong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932158664 PECOS PAC ID: 1759350739 Enrollment ID: I20040928000411 |
| Provider Name | Amber Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417309147 PECOS PAC ID: 2860771094 Enrollment ID: I20161110002461 |
| Provider Name | Julie S Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346723863 PECOS PAC ID: 6406180629 Enrollment ID: I20190621002233 |
G A Carmichael Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 W Franklin St, Carthage, MS 39051 Phone: 601-859-5213 Fax: 601-859-8771 | |
Baptist Medical Center-leake, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Hwy 16 East, Carthage, MS 39051 Phone: 601-267-1470 Fax: 601-267-1469 | |
Vibha Vig Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Ellis St., Carthage, MS 39051 Phone: 601-267-0544 Fax: 601-267-5092 | |
Mississippi Band Of Choctaw Indians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 N Pearl St, Carthage, MS 39051 Phone: 601-656-2211 Fax: 601-663-7721 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Highway 16 W, Carthage, MS 39051 Phone: 601-298-3101 Fax: 931-722-9919 | |
Vytalize Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1071 E Franklin St, Carthage, MS 39051 Phone: 601-267-4562 |