Dr Brian J Tollefson, MD | |
2500 N State St, Jackson, MS 39216-4500 | |
(601) 984-5571 | |
(601) 984-5583 |
Full Name | Dr Brian J Tollefson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 24 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 |
---|---|---|---|
1093747776 | NPI | - | NPPES |
P00772006 | Other | MS | RAILROAD NUMBER |
178297 | Medicaid | AL | |
512I930490 | Other | MS | MEDICARE PTAN EFFECTIVE 7/17/09 |
1796778 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 18987 (Mississippi) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 18987 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Merit Health Madison | Canton, MS | Hospital |
University Of Mississippi Med Center | 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 |
---|---|
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 |
---|---|
Dr Brian J Tollefson, MD 504 Clinton Center Drive, Cbo Suite 4300, Clinton, MS 39056-4500 Ph: (601) 815-2005 | Dr Brian J Tollefson, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5571 |
Dr. Tesia Shani Hall-hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204 Phone: 601-914-0163 Fax: 601-914-0170 | |
Mrs. Christian Fortenberry, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 | |
Dr. Marcia L Howard, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216 Phone: 601-984-5426 Fax: 601-984-6889 | |
Stephen Paul Epperson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-5241 | |
Deborah O'bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-4778 Fax: 601-984-5420 | |
Dr. Cassandra Faye Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-981-7198 Fax: 601-981-6616 | |
Mrs. Sydney Mccary Ponder, Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 |