| Tenn-tom Med Llc | |
|
369 Highway 72 Burnsville MS 38833-9320 | |
| (662) 427-4040 | |
| (662) 427-4041 |
| Full Name | Tenn-tom Med Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 369 Highway 72, Burnsville, Mississippi |
| Authorized Official Name and Position | Camille Whitehead (MANAGING NURSE PRACTITIONER) |
| Authorized Official Contact | 6624274040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenn-tom Med Llc Po Box 214 Burnsville MS 38833-0214 Ph: (662) 427-4040 | Tenn-tom Med Llc 369 Highway 72 Burnsville MS 38833-9320 Ph: (662) 427-4040 |
| NPI Number | 1174294797 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 04/21/2022 |
| Medicare PECOS PAC ID | 8729476114 |
|---|---|
| Medicare Enrollment ID | O20211104001968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174294797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710959283 PECOS PAC ID: 7113961616 Enrollment ID: I20050615000744 |
| Provider Name | Camille Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427556828 PECOS PAC ID: 1658632831 Enrollment ID: I20180305000267 |
Caring Hands Family Health Care Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 369 Highway 72, Burnsville, MS 38833 Phone: 662-665-2818 | |
Tishomingo Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 296 Highway 72, Burnsville, MS 38833 Phone: 662-427-2073 Fax: 662-427-2074 | |
Bmc Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603b Highway 365, Burnsville, MS 38833 Phone: 662-427-9977 Fax: 662-427-8877 |