Greenwood Children's Clinic - Medicare Primary Care in Greenwood, MS

Greenwood Children's Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Greenwood, Mississippi. The current practice location for Greenwood Children's Clinic is 1405 Strong Ave, Greenwood, Mississippi. For appointments, you can reach them via phone at (662) 459-7030. The mailing address for Greenwood Children's Clinic is Po Box 1410, Clinic Administration, Greenwood, Mississippi and phone number is (662) 459-7030.

Greenwood Children's Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669441994. 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) 459-7030.

Contact Information

Greenwood Children's Clinic
1405 Strong Ave
Greenwood
MS 38930
(662) 459-7030
Not Available

Primary Care Clinic Profile

Full NameGreenwood Children's Clinic
SpecialityClinic/Center
Location1405 Strong Ave, Greenwood, Mississippi
Authorized Official Name and PositionDawne Holmes (CFO)
Authorized Official Contact6624597119
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Greenwood Children's Clinic
Po Box 1410
Clinic Administration
Greenwood
MS 38935-1410

Ph: (662) 459-7030
Greenwood Children's Clinic
1405 Strong Ave
Greenwood
MS 38930

Ph: (662) 459-7030

NPI Details:

NPI Number1669441994
Provider Enumeration Date03/17/2006
Last Update Date06/24/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8224221619
Medicare Enrollment IDO20101018001016

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Medical Identifiers

Medical identifiers for Greenwood Children's Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669441994NPI-NPPES
09015045MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (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. Greenwood Children's Clinic acts as a billing entity for following providers:
Provider NameShandra C Mcclellan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538138250
PECOS PAC ID: 1052395662
Enrollment ID: I20040614000226

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Provider NameBilly Boldon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790754000
PECOS PAC ID: 6507051992
Enrollment ID: I20101111000125

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Provider NameClaudine Stevens
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1225007537
PECOS PAC ID: 1759576150
Enrollment ID: I20101111000170

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Provider NameVivan Elizabeth Huddleston
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093784209
PECOS PAC ID: 7517152549
Enrollment ID: I20101116000384

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Provider NameDawn C Peery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871844498
PECOS PAC ID: 4082853627
Enrollment ID: I20130612000143

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› Verified 6 days ago


Clinic/Center in Greenwood, MS

Dr. Arenia C. Mallory Community Health Center, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 201 East Washington Street, Greenwood, MS 38930
Phone: 662-453-4522    Fax: 662-453-4518
Gorton Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1401 River Rd, Attn Clinic Administration, Greenwood, MS 38930
Phone: 662-459-7189    Fax: 662-459-1147
Leflore Specialty Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1401 River Rd, Greenwood, MS 38930
Phone: 662-451-7881    
Greenwood Comprehensive Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 517 Highway 82 W, Greenwood, MS 38930
Phone: 662-455-6767    Fax: 662-455-1774
Michael T. Boler, M.d.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 201 Walthall St, Greenwood, MS 38930
Phone: 662-453-5331    Fax: 662-453-5332
State Of Mississippi - University Of Mississippi Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 203 9th St, Greenwood, MS 38930
Phone: 662-227-7000    
Dr Charles L Nause Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 110 E Market St, Greenwood, MS 38930
Phone: 662-453-5460    Fax: 662-453-5551

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