Back & Neck Pain Clinic Dr L C Huddleston - Medicare Primary Care in Ridgeland, MS

Back & Neck Pain Clinic Dr L C Huddleston is a medicare enrolled primary clinic (Clinic/center) in Ridgeland, Mississippi. The current practice location for Back & Neck Pain Clinic Dr L C Huddleston is 6500 Old Canton Rd, Ridgeland, Mississippi. For appointments, you can reach them via phone at (601) 956-0010. The mailing address for Back & Neck Pain Clinic Dr L C Huddleston is 6500 Old Canton Rd, Ridgeland, Mississippi and phone number is (601) 956-0010.

Back & Neck Pain Clinic Dr L C Huddleston is licensed to practice in Mississippi (license number 624). The clinic also participates in the medicare program and its NPI number is 1255693602. 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) 956-0010.

Contact Information

Back & Neck Pain Clinic Dr L C Huddleston
6500 Old Canton Rd
Ridgeland
MS 39157-1313
(601) 956-0010
Not Available

Primary Care Clinic Profile

Full NameBack & Neck Pain Clinic Dr L C Huddleston
SpecialityClinic/Center
Location6500 Old Canton Rd, Ridgeland, Mississippi
Authorized Official Name and PositionLeo C Huddleston (OWNER)
Authorized Official Contact6019530010
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Back & Neck Pain Clinic Dr L C Huddleston
6500 Old Canton Rd
Ridgeland
MS 39157-1313

Ph: (601) 956-0010
Back & Neck Pain Clinic Dr L C Huddleston
6500 Old Canton Rd
Ridgeland
MS 39157-1313

Ph: (601) 956-0010

NPI Details:

NPI Number1255693602
Provider Enumeration Date06/12/2012
Last Update Date06/13/2012

Medicare PECOS Information:

Medicare PECOS PAC ID3072777564
Medicare Enrollment IDO20120613000459

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Medical Identifiers

Medical identifiers for Back & Neck Pain Clinic Dr L C Huddleston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255693602NPI-NPPES
00115050MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 624 (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. Back & Neck Pain Clinic Dr L C Huddleston acts as a billing entity for following providers:
Provider NameLeo C Huddleston
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1609976810
PECOS PAC ID: 8022272541
Enrollment ID: I20120613000744

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