Dexter W Walcott, MD | |
1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | |
(601) 354-4836 | |
(601) 354-2619 |
Full Name | Dexter W Walcott |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 47 Years |
Location | 1513 Lakeland Dr., 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 |
---|---|---|---|
1457321325 | NPI | - | NPPES |
00113910 | Medicaid | MS | |
00112408 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 10031 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
North Sunflower Medical Center Cah | Ruleville, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mississippi Asthma And Allergy Clinic Pa | 7416993522 | 13 |
Entity Name | Mississippi Asthma & Allergy Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902882251 PECOS PAC ID: 7416993522 Enrollment ID: O20050629000438 |
Mailing Address | Practice Location Address |
---|---|
Dexter W Walcott, MD 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 Ph: (601) 354-4836 | Dexter W Walcott, MD 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 Ph: (601) 354-4836 |
Mr. Daniel L Venarske, M.D Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 Phone: 601-354-4836 Fax: 601-354-2619 | |
Dr. Sheryll Angela Vincent, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5440 Watkins Dr, Ste A, Jackson, MS 39206 Phone: 601-981-3636 Fax: 601-982-5335 | |
Dr. Claire Brabec Rosenblatt, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1513 Lakeland Dr, Suite 101, Jackson, MS 39216 Phone: 601-354-4836 Fax: 601-354-2619 | |
Joshua F Phillips, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1513 Lakeland Dr.,, Suite 101, Jackson, MS 39216 Phone: 601-354-4836 Fax: 601-354-2619 | |
Cara T Stevens, FNP Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 | |
Dr. Stephen F Kemp, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 878 Lakeland Dr, Lb-building, Jackson, MS 39216 Phone: 601-815-1078 Fax: 601-984-6994 |