State Of Mississippi-university Of Mississippi Medical Center is a
Nurse Practitioner based in Jackson, Mississippi. State Of Mississippi-university Of Mississippi Medical Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
2500 N State St, Pfs, Jackson, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 984-4619.
NPI number for State Of Mississippi-university Of Mississippi Medical Center is 1699857433 and their current mailing address is 2500 N State St, Jackson, Mississippi. State Of Mississippi-university Of Mississippi Medical Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699857433.
Healthcare Provider's Profile
| Full Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 2500 N State St, Jackson, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699857433
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 04/20/2008
Medical Identifiers
Medical identifiers for State Of Mississippi-university Of Mississippi Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699857433 | NPI | - | NPPES |
| CH5738 | Other | MS | RR MEDICARE |
| 09015456 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. State Of Mississippi-university Of Mississippi Medical Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
State Of Mississippi-university Of Mississippi Medical Center
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 984-2342 | State Of Mississippi-university Of Mississippi Medical Center
2500 N State St, Pfs,
Jackson, MS 39216-4500
Ph: (601) 984-4619 |
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