Family Med 101, Inc - Medicare Primary Care in Booneville, MS

Family Med 101, Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Booneville, Mississippi. The current practice location for Family Med 101, Inc is 101 Mimosa St, Booneville, Mississippi. For appointments, you can reach them via phone at (662) 720-4919. The mailing address for Family Med 101, Inc is Po Box 60, Booneville, Mississippi and phone number is (662) 720-4919.

Family Med 101, Inc is licensed to practice in Mississippi (license number R763457). The clinic also participates in the medicare program and its NPI number is 1902997059. 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) 720-4919.

Contact Information

Family Med 101, Inc
101 Mimosa St
Booneville
MS 38829-2911
(662) 720-4919
(662) 720-4980

Primary Care Clinic Profile

Full NameFamily Med 101, Inc
SpecialityClinic/Center
Location101 Mimosa St, Booneville, Mississippi
Authorized Official Name and PositionFelesha D Perrigo (OWNER/NURSE PRACTITIONER)
Authorized Official Contact6627204919
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Med 101, Inc
Po Box 60
Booneville
MS 38829-0060

Ph: (662) 720-4919
Family Med 101, Inc
101 Mimosa St
Booneville
MS 38829-2911

Ph: (662) 720-4919

NPI Details:

NPI Number1902997059
Provider Enumeration Date09/27/2006
Last Update Date11/09/2017

Medicare PECOS Information:

Medicare PECOS PAC ID6305845298
Medicare Enrollment IDO20070319000340

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Medical Identifiers

Medical identifiers for Family Med 101, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902997059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care R763457 (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. Family Med 101, Inc acts as a billing entity for following providers:
Provider NameFelesha D Perrigo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518959584
PECOS PAC ID: 8123062783
Enrollment ID: I20050614001152

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