River City Family Medicine And Weight Management Clinic, Llc - Medicare Primary Care in Vicksburg, MS

River City Family Medicine And Weight Management Clinic, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Vicksburg, Mississippi. The current practice location for River City Family Medicine And Weight Management Clinic, Llc is 3211 Wisconsin Ave Ste A, Vicksburg, Mississippi. For appointments, you can reach them via phone at (769) 203-0401. The mailing address for River City Family Medicine And Weight Management Clinic, Llc is Po Box 492, Vicksburg, Mississippi and phone number is (769) 203-0401.

River City Family Medicine And Weight Management Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083345672. 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 (769) 203-0401.

Contact Information

River City Family Medicine And Weight Management Clinic, Llc
3211 Wisconsin Ave Ste A
Vicksburg
MS 39180-5635
(769) 203-0401
Not Available

Primary Care Clinic Profile

Full NameRiver City Family Medicine And Weight Management Clinic, Llc
SpecialityClinic/Center
Location3211 Wisconsin Ave Ste A, Vicksburg, Mississippi
Authorized Official Name and PositionLameka Miller (FNP)
Authorized Official Contact7692030401
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
River City Family Medicine And Weight Management Clinic, Llc
Po Box 492
Vicksburg
MS 39181-0492

Ph: (769) 203-0401
River City Family Medicine And Weight Management Clinic, Llc
3211 Wisconsin Ave Ste A
Vicksburg
MS 39180-5635

Ph: (769) 203-0401

NPI Details:

NPI Number1083345672
Provider Enumeration Date06/23/2022
Last Update Date11/29/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0143698084
Medicare Enrollment IDO20221123002747

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Medical Identifiers

Medical identifiers for River City Family Medicine And Weight Management Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083345672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. River City Family Medicine And Weight Management Clinic, Llc acts as a billing entity for following providers:
Provider NameLameka Q Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720631161
PECOS PAC ID: 2668750472
Enrollment ID: I20200506000843

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