East-end Family Medical Clinic, Llc - Medicare Primary Care in Cleveland, MS

East-end Family Medical Clinic, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Cleveland, Mississippi. The current practice location for East-end Family Medical Clinic, Llc is 140 North St, Cleveland, Mississippi. For appointments, you can reach them via phone at (662) 545-4674. The mailing address for East-end Family Medical Clinic, Llc is 1500 N Bayou Rd, Cleveland, Mississippi and phone number is (662) 721-8036.

East-end Family Medical Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487118733. 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) 545-4674.

Contact Information

East-end Family Medical Clinic, Llc
140 North St
Cleveland
MS 38732-2744
(662) 545-4674
(662) 545-4715

Primary Care Clinic Profile

Full NameEast-end Family Medical Clinic, Llc
SpecialityClinic/Center
Location140 North St, Cleveland, Mississippi
Authorized Official Name and PositionCassandra Latasha Shepard (FNP/ADMINISTRATOR)
Authorized Official Contact6625454674
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
East-end Family Medical Clinic, Llc
1500 N Bayou Rd
Cleveland
MS 38732-9723

Ph: (662) 721-8036
East-end Family Medical Clinic, Llc
140 North St
Cleveland
MS 38732-2744

Ph: (662) 545-4674

NPI Details:

NPI Number1487118733
Provider Enumeration Date01/30/2019
Last Update Date01/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2860734506
Medicare Enrollment IDO20190430001478

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Medical Identifiers

Medical identifiers for East-end Family Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487118733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. East-end Family Medical Clinic, Llc acts as a billing entity for following providers:
Provider NameCassandra L Shepard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144748898
PECOS PAC ID: 6800153867
Enrollment ID: I20171129000700

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