Westridge Family Clinic - Medicare Primary Care in Laurel, MS

Westridge Family Clinic is a medicare enrolled primary clinic (Family Medicine) in Laurel, Mississippi. The current practice location for Westridge Family Clinic is 307 S 13th Ave, Laurel, Mississippi. For appointments, you can reach them via phone at (601) 649-7600. The mailing address for Westridge Family Clinic is 307 S 13th Ave, Laurel, Mississippi and phone number is (601) 649-7600.

Westridge Family Clinic is licensed to practice in Mississippi (license number 12524). The clinic also participates in the medicare program and its NPI number is 1649479429. 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 (601) 649-7600.

Contact Information

Westridge Family Clinic
307 S 13th Ave
Laurel
MS 39440-4342
(601) 649-7600
(601) 649-7628

Primary Care Clinic Profile

Full NameWestridge Family Clinic
SpecialityFamily Medicine
Location307 S 13th Ave, Laurel, Mississippi
Authorized Official Name and PositionChristopher L Mauldin (GENERAL PARTNER)
Authorized Official Contact6016497600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Westridge Family Clinic
307 S 13th Ave
Laurel
MS 39440-4342

Ph: (601) 649-7600
Westridge Family Clinic
307 S 13th Ave
Laurel
MS 39440-4342

Ph: (601) 649-7600

NPI Details:

NPI Number1649479429
Provider Enumeration Date07/12/2007
Last Update Date07/12/2007

Medicare PECOS Information:

Medicare PECOS PAC ID0648332171
Medicare Enrollment IDO20081217000613

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Medical Identifiers

Medical identifiers for Westridge Family Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649479429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 12524 (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. Westridge Family Clinic acts as a billing entity for following providers:
Provider NameStephanie L Crosby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447299508
PECOS PAC ID: 4284618315
Enrollment ID: I20040616000773

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Provider NameChristopher L Mauldin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902831837
PECOS PAC ID: 0345302873
Enrollment ID: I20101123000230

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Provider NameLaura R Boleware
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437540325
PECOS PAC ID: 6204143464
Enrollment ID: I20150921001238

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Provider NameCharles Steven Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356834766
PECOS PAC ID: 1557605714
Enrollment ID: I20181129001789

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Provider NameMadison Carol Brewer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679112304
PECOS PAC ID: 5698103604
Enrollment ID: I20200324003922

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Provider NameKaitlin Johnson Hinton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568089977
PECOS PAC ID: 2163837097
Enrollment ID: I20210226000601

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Provider NameCarrie Allison Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538872932
PECOS PAC ID: 3476926163
Enrollment ID: I20230228000752

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Family Medicine in Laurel, MS

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