Extended Care Clinical Services - Medicare Primary Care in Brookhaven, MS

Extended Care Clinical Services is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Brookhaven, Mississippi. The current practice location for Extended Care Clinical Services is 724 N Jackson St, Brookhaven, Mississippi. For appointments, you can reach them via phone at (601) 412-4503. The mailing address for Extended Care Clinical Services is 724 N Jackson St, Brookhaven, Mississippi and phone number is (601) 833-5255.

Extended Care Clinical Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134741945. 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) 412-4503.

Contact Information

Extended Care Clinical Services
724 N Jackson St
Brookhaven
MS 39601-2460
(601) 412-4503
Not Available

Primary Care Clinic Profile

Full NameExtended Care Clinical Services
SpecialityClinic/Center
Location724 N Jackson St, Brookhaven, Mississippi
Authorized Official Name and PositionMallory Mowdy (PRESIDENT)
Authorized Official Contact6017300602
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Extended Care Clinical Services
724 N Jackson St
Brookhaven
MS 39601-2460

Ph: (601) 833-5255
Extended Care Clinical Services
724 N Jackson St
Brookhaven
MS 39601-2460

Ph: (601) 412-4503

NPI Details:

NPI Number1134741945
Provider Enumeration Date05/14/2020
Last Update Date09/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5092137844
Medicare Enrollment IDO20200624000330

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Medical Identifiers

Medical identifiers for Extended Care Clinical Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134741945NPI-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. Extended Care Clinical Services acts as a billing entity for following providers:
Provider NameMallory E Mowdy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427458553
PECOS PAC ID: 0547584104
Enrollment ID: I20150130001594

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Provider NameMelissa J Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609396076
PECOS PAC ID: 4284994856
Enrollment ID: I20180131001427

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Provider NameCole T Hodges
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932517562
PECOS PAC ID: 6800105669
Enrollment ID: I20180821001741

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Provider NameTonjia Lang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205548229
PECOS PAC ID: 7618342064
Enrollment ID: I20230417002030

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When prenatal diagnosis detects the severe heart defect hypoplastic left heart syndrome (HLHS) in a fetus, a comprehensive prenatal evaluation is important to provide parents an accurate prognosis. In HLHS, one of the heart's pumping chambers is severely underdeveloped. However, say researchers, in two-thirds of cases, reconstructive surgery affords the infant an excellent chance of early survival.

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› Verified 9 days ago


Clinic/Center in Brookhaven, MS

King's Daughters Primary Care Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601
Phone: 601-823-5000    
King's Daughters Medical Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 950 Brookway Blvd, Brookhaven, MS 39601
Phone: 601-833-7973    
Joseph S Moak Jr Md Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1040 Biglane Drive, Brookhaven, MS 39601
Phone: 601-833-5051    Fax: 601-835-0240
Doctors Urgent Care, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 439 N Jackson St, Suite A, Brookhaven, MS 39601
Phone: 601-833-9912    
Alexander Jr. High School
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: Alexander Jr High School, 713 Beauregard St., Brookhaven, MS 39601
Phone: 601-833-7549    Fax: 601-835-5467
Kdmc Pediatric Adolescent Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 509 Brookman Dr., Brookhaven, MS 39601
Phone: 601-823-5204    

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