Dr Jackson Scott Thomas, MD | |
427 Highway 51 N, Brookhaven, MS 39601-2350 | |
(601) 835-9270 | |
(601) 833-5210 |
Full Name | Dr Jackson Scott Thomas |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 427 Highway 51 N, Brookhaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982702155 | NPI | - | NPPES |
MS15444 | Other | MS | MS LICENSE NUMBER |
00119589 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15444 (Mississippi) | Primary |
Entity Name | Ottumwa Health Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
Mailing Address | Practice Location Address |
---|---|
Dr Jackson Scott Thomas, MD Po Box 321406, Flowood, MS 39232-1406 Ph: (601) 835-9270 | Dr Jackson Scott Thomas, MD 427 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (601) 835-9270 |
Joshua William Iles, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Brookman Dr, Brookhaven, MS 39601 Phone: 601-823-5204 Fax: 601-833-1224 | |
Charles Mitchell Holland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Brookman Dr, Brookhaven, MS 39601 Phone: 601-823-5204 Fax: 601-833-1224 | |
Timothy Ray Shann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Brookman Dr, Brookhaven, MS 39601 Phone: 601-823-5204 Fax: 601-833-1224 | |
David Steven Braden, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 624 Highway 51 N, Brookhaven, MS 39601 Phone: 601-835-2100 Fax: 601-835-0451 |