Revive Family Medical Clinic, Llc - Medicare Primary Care in Columbus, MS

Revive Family Medical Clinic, Llc is a medicare enrolled primary clinic (Clinic/center) in Columbus, Mississippi. The current practice location for Revive Family Medical Clinic, Llc is 3549 Bluecutt Rd, Columbus, Mississippi. For appointments, you can reach them via phone at (662) 386-1541. The mailing address for Revive Family Medical Clinic, Llc is 3549 Bluecutt Rd, Columbus, Mississippi and phone number is (662) 570-4174.

Revive Family Medical Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1902577554. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 386-1541.

Contact Information

Revive Family Medical Clinic, Llc
3549 Bluecutt Rd
Columbus
MS 39705-1324
(662) 386-1541
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameRevive Family Medical Clinic, Llc
SpecialityClinic/Center
Location3549 Bluecutt Rd, Columbus, Mississippi
Authorized Official Name and PositionMicah Alexander Grant (NURSE PRACTITIONER)
Authorized Official Contact6625704174
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revive Family Medical Clinic, Llc
3549 Bluecutt Rd
Columbus
MS 39705-1324

Ph: (662) 570-4174
Revive Family Medical Clinic, Llc
3549 Bluecutt Rd
Columbus
MS 39705-1324

Ph: (662) 386-1541

NPI Details:

NPI Number1902577554
Provider Enumeration Date09/23/2021
Last Update Date11/18/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4082002787
Medicare Enrollment IDO20211029001523

Medical Identifiers

Medical identifiers for Revive Family Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902577554NPI-NPPES
06975501MedicaidMS
R874310OtherMSMISSISSIPPI BOARD OF NURSING- RN
F0115273OtherAANP
1437558061OtherNPI-1

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revive Family Medical Clinic, Llc acts as a billing entity for following providers:
Provider NameMicah Alexander Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437558061
PECOS PAC ID: 5991016503
Enrollment ID: I20150624000695

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.