Greenwood Primary Care Clinic - Medicare Primary Care in Greenwood, MS

Greenwood Primary Care Clinic is a medicare enrolled primary clinic (Clinic/center) in Greenwood, Mississippi. The current practice location for Greenwood Primary Care Clinic is 102 Professional Pl, Greenwood, Mississippi. For appointments, you can reach them via phone at (662) 453-1852. The mailing address for Greenwood Primary Care Clinic is Po Box 1410, Greenwood, Mississippi and phone number is (662) 453-1852.

Greenwood Primary Care Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548616832. 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) 453-1852.

Contact Information

Greenwood Primary Care Clinic
102 Professional Pl
Greenwood
MS 38930-9633
(662) 453-1852
Not Available

Primary Care Clinic Profile

Full NameGreenwood Primary Care Clinic
SpecialityClinic/Center
Location102 Professional Pl, 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 Primary Care Clinic
Po Box 1410
Greenwood
MS 38935-1410

Ph: (662) 453-1852
Greenwood Primary Care Clinic
102 Professional Pl
Greenwood
MS 38930-9633

Ph: (662) 453-1852

NPI Details:

NPI Number1548616832
Provider Enumeration Date05/05/2016
Last Update Date01/14/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1153617402
Medicare Enrollment IDO20160913000502

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Medical Identifiers

Medical identifiers for Greenwood Primary Care Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548616832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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 Primary Care Clinic acts as a billing entity for following providers:
Provider NameWilliam B Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407948284
PECOS PAC ID: 8123016060
Enrollment ID: I20040504001330

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Provider NameSabrina B Matthews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043662430
PECOS PAC ID: 7416953047
Enrollment ID: I20160913000669

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Provider NameCarrie D Narmour
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477007763
PECOS PAC ID: 4981988300
Enrollment ID: I20170303000789

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Provider NameAndrew John Bartlett
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1477932770
PECOS PAC ID: 5597071720
Enrollment ID: I20180413000921

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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
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Medicare: Not Enrolled in Medicare
Practice Location: 203 9th St, Greenwood, MS 38930
Phone: 662-227-7000    
Dr Charles L Nause Pa
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Medicare: Medicare Enrolled
Practice Location: 110 E Market St, Greenwood, MS 38930
Phone: 662-453-5460    Fax: 662-453-5551

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