Dr Jacob Moremen, MD | |
2500 North State Street, Jackson, MS 39216-4500 | |
(601) 984-5452 | |
(601) 815-3322 |
Full Name | Dr Jacob Moremen |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 16 Years |
Location | 2500 North State Street, 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 |
---|---|---|---|
1972743797 | NPI | - | NPPES |
05089861 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 24447 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Mississippi Med Center | Jackson, MS | Hospital |
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Dominic Medical Associates Llc | 0446303168 | 156 |
State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 782 |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | St. Dominic Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Mailing Address | Practice Location Address |
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Dr Jacob Moremen, MD 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 984-5452 | Dr Jacob Moremen, MD 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 984-5452 |
Dr. Richard P Cochran, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 406-640-4933 | |
Dr. Lawrence Lee Creswell, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5170 Fax: 601-984-5198 | |
Dr. Craig Vorpe Adams, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 | |
Dr. Ali Dodge-khatami, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Division Of Pediatric Cardiac Surgery, Jackson, MS 39216 Phone: 601-984-4693 | |
Dr. Charles S O'mara, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5105 Fax: 601-815-3322 | |
Dr. Albert Michael Koury, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Suite 100, Jackson, MS 39202 Phone: 601-969-7467 Fax: 601-948-1417 | |
Mr. Fidel Fabian Sendra, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1860 Chadwick Dr Ste 256, Jackson, MS 39204 Phone: 601-376-1394 |