Golden Age Clinic - Medicare Primary Care in Greenwood, MS

Golden Age Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Greenwood, Mississippi. The current practice location for Golden Age Clinic is 2901 Highway 82 E, Greenwood, Mississippi. For appointments, you can reach them via phone at (662) 374-2185. The mailing address for Golden Age Clinic is 2901 Highway 82 East, Greenwood, Mississippi and phone number is (662) 374-2185.

Golden Age Clinic is licensed to practice in Mississippi (license number ). The clinic also participates in the medicare program and its NPI number is 1558693671. 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) 374-2185.

Contact Information

Golden Age Clinic
2901 Highway 82 E
Greenwood
MS 38930-2960
(662) 374-2185
(662) 374-2195

Primary Care Clinic Profile

Full NameGolden Age Clinic
SpecialityClinic/Center
Location2901 Highway 82 E, Greenwood, Mississippi
Authorized Official Name and PositionTabatha Danielle Watkins (ADMINISTRATOR)
Authorized Official Contact6624536323
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Golden Age Clinic
2901 Highway 82 East
Greenwood
MS 38930-2960

Ph: (662) 374-2185
Golden Age Clinic
2901 Highway 82 E
Greenwood
MS 38930-2960

Ph: (662) 374-2185

NPI Details:

NPI Number1558693671
Provider Enumeration Date02/01/2010
Last Update Date01/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0941294292
Medicare Enrollment IDO20100415000625

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Medical Identifiers

Medical identifiers for Golden Age Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558693671NPI-NPPES
09705072MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (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. Golden Age Clinic acts as a billing entity for following providers:
Provider NameJames E Warrington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912919234
PECOS PAC ID: 2769387901
Enrollment ID: I20031205000246

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Provider NameJacqueline Suszan Ware
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558670869
PECOS PAC ID: 3072791839
Enrollment ID: I20110624000564

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Clinic/Center in Greenwood, MS

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