Holistic Family Health By Hodge - Medicare Primary Care in Southaven, MS

Holistic Family Health By Hodge is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Southaven, Mississippi. The current practice location for Holistic Family Health By Hodge is 5699 Getwell Rd Ste 3, Southaven, Mississippi. For appointments, you can reach them via phone at (662) 420-3264. The mailing address for Holistic Family Health By Hodge is 3129 Pinetree Loop S, Southaven, Mississippi and phone number is (662) 420-3264.

Holistic Family Health By Hodge is licensed to practice in Mississippi (license number R858633). The clinic also participates in the medicare program and its NPI number is 1013439736. 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) 420-3264.

Contact Information

Holistic Family Health By Hodge
5699 Getwell Rd Ste 3
Southaven
MS 38672-7312
(662) 420-3264
Not Available

Primary Care Clinic Profile

Full NameHolistic Family Health By Hodge
SpecialityClinic/Center
Location5699 Getwell Rd Ste 3, Southaven, Mississippi
Authorized Official Name and PositionConnie Jean Hodge (OWNER)
Authorized Official Contact6624203264
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holistic Family Health By Hodge
3129 Pinetree Loop S
Southaven
MS 38672-9520

Ph: (662) 420-3264
Holistic Family Health By Hodge
5699 Getwell Rd Ste 3
Southaven
MS 38672-7312

Ph: (662) 420-3264

NPI Details:

NPI Number1013439736
Provider Enumeration Date07/14/2017
Last Update Date06/16/2018

Medicare PECOS Information:

Medicare PECOS PAC ID8426316613
Medicare Enrollment IDO20171215002291

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Medical Identifiers

Medical identifiers for Holistic Family Health By Hodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013439736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care R858633 (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. Holistic Family Health By Hodge acts as a billing entity for following providers:
Provider NameConnie J Hodge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891103313
PECOS PAC ID: 7911294475
Enrollment ID: I20171215002341

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