Deborah Virginia Gross, MD | |
1200 N State St Ste 450, Jackson, MS 39202-2000 | |
(601) 957-7343 | |
Not Available |
Full Name | Deborah Virginia Gross |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 40 Years |
Location | 1200 N State St Ste 450, Jackson, Mississippi |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982717997 | NPI | - | NPPES |
009987395 | Medicaid | AL | |
611212800 | Medicaid | MS | |
00114296 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 14099 (Mississippi) | Secondary |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 14099 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pathway Healthcare- Mississippi Llc | 3779844774 | 7 |
Impact Healthcare, Pllc | 5991065427 | 10 |
Entity Name | Pathway Healthcare- Columbus Ms Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245755990 PECOS PAC ID: 4385903905 Enrollment ID: O20180104001883 |
Entity Name | Pathway Healthcare- Mississippi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013425503 PECOS PAC ID: 3779844774 Enrollment ID: O20180308001891 |
Entity Name | Impact Behavioral Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386169050 PECOS PAC ID: 1355604836 Enrollment ID: O20180416000807 |
Entity Name | Pathway Healthcare - Jackson, Ms, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487179156 PECOS PAC ID: 1052674439 Enrollment ID: O20180417002749 |
Mailing Address | Practice Location Address |
---|---|
Deborah Virginia Gross, MD 1000 Urban Center Dr Ste 600, Vestavia, AL 35242-2584 Ph: (205) 208-9312 | Deborah Virginia Gross, MD 1200 N State St Ste 450, Jackson, MS 39202-2000 Ph: (601) 957-7343 |
Lamar Davis Ii, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5275 | |
Dr. Patrick E Weldon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 Phone: 601-376-2004 Fax: 601-376-2006 | |
Derek Letort, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 420, Jackson, MS 39202 Phone: 601-355-3353 Fax: 601-355-3365 | |
James Thompson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Ummc Department Of Pediatrics, Jackson, MS 39216 Phone: 601-984-5200 Fax: 601-984-2086 | |
Dr. Jahanzeb Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-815-0434 | |
Dr. Kelsey Hillhouse Carr, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5514 | |
Dr. Tiffany Hoi-yan Pike-lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 330-808-8117 |