Dr Anthony Wade Jackson Sr, MD | |
152 Highway 7 S, Oxford, MS 38655-5392 | |
(662) 488-8878 | |
Not Available |
Full Name | Dr Anthony Wade Jackson Sr |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 152 Highway 7 S, Oxford, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154477453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 14917 (Mississippi) | Primary |
Entity Name | Vogelfanger And Struble Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508895764 PECOS PAC ID: 6608963954 Enrollment ID: O20071102000168 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Wade Jackson Sr, MD 152 Highway 7 S, Oxford, MS 38655-5392 Ph: (662) 488-8878 | Dr Anthony Wade Jackson Sr, MD 152 Highway 7 S, Oxford, MS 38655-5392 Ph: (662) 488-8878 |
Timothy Richard Kelly, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 510 Azalea Dr Ste 200, Oxford, MS 38655 Phone: 662-236-6696 | |
Malcolm M Roland, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2908 South Lamar Blvd. Suite 100, Oxford, MS 38655 Phone: 662-281-0112 Fax: 662-281-0943 | |
Dr. Isham Harrison Evans, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 401 Jackson Ave E, Oxford, MS 38655 Phone: 662-236-5773 Fax: 662-236-5844 | |
Dr. Megan Blair Edwards, D.O. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2908 S Lamar Blvd Ste 100, Oxford, MS 38655 Phone: 662-281-0112 Fax: 662-281-0943 | |
Robert B Culpepper, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 152 Highway 7 S, Oxford, MS 38655 Phone: 662-234-7521 Fax: 662-236-3071 | |
Dr. Richard Stephen Pannel, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2086 Old Taylor Rd, Suite 1012, Oxford, MS 38655 Phone: 662-380-5022 Fax: 662-380-5023 |