Athletico Ltd - Medicare Primary Care in Oxford, MS

Athletico Ltd is a medicare enrolled primary clinic (Clinic/center) in Oxford, Mississippi. The current practice location for Athletico Ltd is 2205 Jefferson Davis Dr, Oxford, Mississippi. For appointments, you can reach them via phone at (662) 238-2800. The mailing address for Athletico Ltd is 2122 York Rd Ste 300, Oak Brook, Illinois and phone number is (630) 575-1980.

Athletico Ltd is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053195990. 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) 238-2800.

Contact Information

Athletico Ltd
2205 Jefferson Davis Dr
Oxford
MS 38655-5221
(662) 238-2800
(662) 238-2808

Primary Care Clinic Profile

Full NameAthletico Ltd
SpecialityClinic/Center
Location2205 Jefferson Davis Dr, Oxford, Mississippi
Authorized Official Name and PositionJuana Granados (CREDENTIALING MANAGER)
Authorized Official Contact6305751980
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Athletico Ltd
2122 York Rd Ste 300
Oak Brook
IL 60523-1925

Ph: (630) 575-1980
Athletico Ltd
2205 Jefferson Davis Dr
Oxford
MS 38655-5221

Ph: (662) 238-2800

NPI Details:

NPI Number1053195990
Provider Enumeration Date08/22/2023
Last Update Date08/22/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4789602681
Medicare Enrollment IDO20231018003487

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Medical Identifiers

Medical identifiers for Athletico Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053195990NPI-NPPES

Medical Taxonomies and Licenses

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

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