4 The Family Healthcare - Medicare Primary Care in Brandon, MS

4 The Family Healthcare is a medicare enrolled primary clinic (Clinic/center) in Brandon, Mississippi. The current practice location for 4 The Family Healthcare is 1127 Old Fannin Rd, C, Brandon, Mississippi. For appointments, you can reach them via phone at (601) 214-4420. The mailing address for 4 The Family Healthcare is 1127 Old Fannin Rd, C, Brandon, Mississippi and phone number is (601) 214-4420.

4 The Family Healthcare is licensed to practice in Mississippi (license number MS845026). The clinic also participates in the medicare program and its NPI number is 1184913014. 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 (601) 214-4420.

Contact Information

4 The Family Healthcare
1127 Old Fannin Rd
C
Brandon
MS 39047-9265
(601) 214-4420
Not Available

Primary Care Clinic Profile

Full Name4 The Family Healthcare
SpecialityClinic/Center
Location1127 Old Fannin Rd, Brandon, Mississippi
Authorized Official Name and PositionJennifer Wedgeworth Mooneyham (PROVIDER/OWNER)
Authorized Official Contact6012144420
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
4 The Family Healthcare
1127 Old Fannin Rd
C
Brandon
MS 39047-9265

Ph: (601) 214-4420
4 The Family Healthcare
1127 Old Fannin Rd
C
Brandon
MS 39047-9265

Ph: (601) 214-4420

NPI Details:

NPI Number1184913014
Provider Enumeration Date03/31/2011
Last Update Date03/31/2011

Medicare PECOS Information:

Medicare PECOS PAC ID7517141229
Medicare Enrollment IDO20110405000062

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Medical Identifiers

Medical identifiers for 4 The Family Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184913014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center MS845026 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 4 The Family Healthcare acts as a billing entity for following providers:
Provider NameJennifer W Mooneyham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134349913
PECOS PAC ID: 5799969408
Enrollment ID: I20110405000075

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J. Brad Madden, Md Family Medicine
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