Delta Health Provider Based Clinics - Medicare Primary Care in Greenville, MS

Delta Health Provider Based Clinics is a medicare enrolled primary clinic (Clinic/center) in Greenville, Mississippi. The current practice location for Delta Health Provider Based Clinics is 1400 E Union St, Greenville, Mississippi. For appointments, you can reach them via phone at (662) 378-3783. The mailing address for Delta Health Provider Based Clinics is Po Box 5247, Greenville, Mississippi and phone number is (662) 378-3783.

Delta Health Provider Based Clinics is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083764542. 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) 378-3783.

Contact Information

Delta Health Provider Based Clinics
1400 E Union St
Greenville
MS 38703-3246
(662) 378-3783
(662) 725-2289

Primary Care Clinic Profile

Full NameDelta Health Provider Based Clinics
SpecialityClinic/Center
Location1400 E Union St, Greenville, Mississippi
Authorized Official Name and PositionIris Y. Stacker (CEO)
Authorized Official Contact6627252099
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Delta Health Provider Based Clinics
Po Box 5247
Greenville
MS 38704-5247

Ph: (662) 378-3783
Delta Health Provider Based Clinics
1400 E Union St
Greenville
MS 38703-3246

Ph: (662) 378-3783

NPI Details:

NPI Number1083764542
Provider Enumeration Date01/10/2007
Last Update Date10/17/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0042208787
Medicare Enrollment IDO20040503000961

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Medical Identifiers

Medical identifiers for Delta Health Provider Based Clinics such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083764542NPI-NPPES

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. Delta Health Provider Based Clinics acts as a billing entity for following providers:
Provider NameMaroun E Hayek
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1922072891
PECOS PAC ID: 4688714496
Enrollment ID: I20091229000299

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Provider NameMtanius A Sultani
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1972577930
PECOS PAC ID: 3779569934
Enrollment ID: I20111213000350

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