| Dr Danny Wade Jackson, DO | |
|
29 S Fourth St, Rolling Fork, MS 39159-5146 | |
| (662) 873-4361 | |
| (662) 873-2921 |
| Full Name | Dr Danny Wade Jackson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 29 S Fourth St, Rolling Fork, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821013095 | NPI | - | NPPES |
| 00019909 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09390 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Danny Wade Jackson, DO Po Box 520, Rolling Fork, MS 39159-0520 Ph: (662) 873-4361 | Dr Danny Wade Jackson, DO 29 S Fourth St, Rolling Fork, MS 39159-5146 Ph: (662) 873-4361 |
Dr. Michael Leo Baker, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-4361 Fax: 662-873-2921 | |
Mrs. Angelia Michele Eason, NURSE PRACTITIONER Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 283 W Race St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-655-1236 | |
Andrew George, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 283 W Race St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-655-1236 | |
Dr. Benjamin Ozbun, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 47 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-5205 | |
Mrs. Susan Caselli, CFNP Family Medicine Medicare: Medicare Enrolled Practice Location: 25 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-873-0742 |