| Miss-lou Gi Pllc | |
|
136 Jeff Davis Blvd Ste B Natchez MS 39120 | |
| (601) 492-2224 | |
| (601) 492-2231 |
| Full Name | Miss-lou Gi Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 136 Jeff Davis Blvd, Natchez, Mississippi |
| Authorized Official Name and Position | Kellen T Jex (OWNER) |
| Authorized Official Contact | 6015974449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miss-lou Gi Pllc 136 Jeff Davis Blvd Ste B Natchez MS 39120 Ph: (601) 492-2224 | Miss-lou Gi Pllc 136 Jeff Davis Blvd Ste B Natchez MS 39120 Ph: (601) 492-2224 |
| NPI Number | 1295492437 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 3678963618 |
|---|---|
| Medicare Enrollment ID | O20211206001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295492437 | NPI | - | NPPES |
| 03506041 | Medicaid | MS | |
| 2390007 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kellen Travis Jex |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952698532 PECOS PAC ID: 5991920613 Enrollment ID: I20140711002052 |
| Provider Name | Kristin R Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245696848 PECOS PAC ID: 0244510071 Enrollment ID: I20161213000706 |
Us Star Nursing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 East Woodlawn Avenue, Natchez, MS 39120 Phone: 601-304-2043 | |
Adams County Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Homochitto St, Natchez, MS 39120 Phone: 601-786-3475 Fax: 601-786-9980 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Highway 61 N, Natchez, MS 39120 Phone: 601-861-1631 | |
Family Medicine Specialists Of Natchez Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Sgt Prentiss Dr, Suite 202, Natchez, MS 39120 Phone: 601-443-2100 Fax: 601-443-2885 | |
Anthony L Buckles Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Northgate Rd Ste D, Natchez, MS 39120 Phone: 708-595-3660 | |
Leslie E England Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Jefferson Davis Blvd Ste C, Natchez, MS 39120 Phone: 601-442-9802 Fax: 601-442-5802 | |
School-based Clinic Adams Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 N. Dr. Mlk Jr. Street, Natchez, MS 39120 Phone: 601-786-3475 Fax: 601-786-9980 |