Lea Ann Byrd - Medicare Primary Care in Clarksdale, MS

Lea Ann Byrd is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Clarksdale, Mississippi. The current practice location for Lea Ann Byrd is 705 N State St, Clarksdale, Mississippi. For appointments, you can reach them via phone at (662) 627-2973. The mailing address for Lea Ann Byrd is 764 Walnut Knoll Ln, Cordova, Tennessee and phone number is (901) 620-6397.

Lea Ann Byrd is licensed to practice in Mississippi (license number R823849). The clinic also participates in the medicare program and its NPI number is 1871098350. 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) 627-2973.

Contact Information

Lea Ann Byrd
705 N State St
Clarksdale
MS 38614
(662) 627-2973
(662) 624-5595

Primary Care Clinic Profile

Full NameLea Ann Byrd
SpecialityClinic/Center
Location705 N State St, Clarksdale, Mississippi
Authorized Official Name and PositionLea Ann Byrd (OWNER)
Authorized Official Contact6626272973
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lea Ann Byrd
764 Walnut Knoll Ln
Cordova
TN 38018-3113

Ph: (901) 620-6397
Lea Ann Byrd
705 N State St
Clarksdale
MS 38614

Ph: (662) 627-2973

NPI Details:

NPI Number1871098350
Provider Enumeration Date03/27/2018
Last Update Date05/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID8325303357
Medicare Enrollment IDO20180523000108

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› Verified 7 days ago

Medical Identifiers

Medical identifiers for Lea Ann Byrd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871098350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care R823849 (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. Lea Ann Byrd acts as a billing entity for following providers:
Provider NameVernon Thomas Hughes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427073170
PECOS PAC ID: 5890713416
Enrollment ID: I20051102000811

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Provider NameLea Ann Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407109945
PECOS PAC ID: 0244479194
Enrollment ID: I20151221001960

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