Mr Paul Robertson, MS, RDN, LDN | |
350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian, Jackson, MS 39213 | |
(601) 815-2500 | |
(601) 984-4074 |
Full Name | Mr Paul Robertson |
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Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 15 Years |
Location | 350 West Woodrow Wilson Avenue, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770718298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | D1361 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 782 |
Provider Name | State Of Mississippi - University Of Mississippi Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
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Mr Paul Robertson, MS, RDN, LDN 350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian, Jackson, MS 39213 Ph: (601) 815-2500 | Mr Paul Robertson, MS, RDN, LDN 350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian, Jackson, MS 39213 Ph: (601) 815-2500 |
Camille Barnes, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5065 | |
Mrs. Angela A. Causey, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Nutrition Systems Wellness, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 603 Duling Ave, Suite 207, Jackson, MS 39216 Phone: 601-984-3126 Fax: 601-984-3127 | |
Ronald Dwayne Woods, RD, CHES Dietitian Medicare: Medicare Enrolled Practice Location: 1 Ashton Gardens Dr, Jackson, MS 39211 Phone: 601-818-4442 | |
Denise Williams Barnett, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Tameka Johnson, RD, CLC, CCP Dietitian Medicare: Medicare Enrolled Practice Location: 338 Oak St, Jackson, MS 39203 Phone: 601-329-5751 | |
Ester V Higginbotham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-368-4483 |