| Physician Management Services Of Mississippi, Llc | |
|
1901 Mission 66 Vicksburg MS 39180-3711 | |
| (888) 829-8550 | |
| Not Available |
| Full Name | Physician Management Services Of Mississippi, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Mission 66, Vicksburg, Mississippi |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of Mississippi, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: () - | Physician Management Services Of Mississippi, Llc 1901 Mission 66 Vicksburg MS 39180-3711 Ph: (888) 829-8550 |
| NPI Number | 1922633916 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Medicare PECOS PAC ID | 9234552555 |
|---|---|
| Medicare Enrollment ID | O20200706000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922633916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Vicksburg Medical Teams Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180 Phone: 601-529-5466 | |
River City Family Medicine And Weight Management Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3211 Wisconsin Ave Ste A, Vicksburg, MS 39180 Phone: 769-203-0401 | |
Robert M Cannon Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Flowers Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 | |
Vicksburg Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3317 Pemberton Square Blvd, Vicksburg, MS 39180 Phone: 601-636-1173 Fax: 601-630-9674 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4204 Clay St, Vicksburg, MS 39183 Phone: 601-619-7717 | |
Central Mississippi Civic Improvement Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Oak St, Vicksburg, MS 39180 Phone: 601-629-9500 Fax: 601-638-9044 |