Brandon B Weatherly, MD | |
2500 N State St, Jackson, MS 39216-4500 | |
(601) 984-2695 | |
Not Available |
Full Name | Brandon B Weatherly |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 11 Years |
Location | 2500 N State St, 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 |
---|---|---|---|
1518308469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | T-2729 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Mississippi Med Center | Jackson, MS | Hospital |
Mississippi Methodist Rehab Ctr | Jackson, MS | Hospital |
University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 782 |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
---|---|
Brandon B Weatherly, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2695 | Brandon B Weatherly, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2695 |
Dr. Christophor D Reed, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-5615 | |
Dr. Patrick James Robbins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5600 Fax: 601-984-5608 | |
Dr. Richard B Friedman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-968-1416 Fax: 601-968-1218 | |
Teddi Leigh Berry, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Radiology, Jackson, MS 39216 Phone: 601-984-2695 Fax: 601-984-2683 | |
Katherine Leigh Ragland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept. Of Radiology, Jackson, MS 39216 Phone: 601-984-2538 | |
Wayne Fai Chan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Radiation Therapy, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1588 | |
Dr. Mary Oneal, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 |