Dr Jay Oliver Craddock, MD | |
2500 N State St, Jackson, MS 39216-4500 | |
(601) 984-5017 | |
(601) 984-5042 |
Full Name | Dr Jay Oliver Craddock |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 14 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 |
---|---|---|---|
1477865723 | NPI | - | NPPES |
01274279 | Medicaid | MS | |
2406647 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0009X | Ophthalmology - Glaucoma Specialist | 22524 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 Jay Oliver Craddock, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5017 | Dr Jay Oliver Craddock, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5017 |
Dr. Nils K Mungan, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5024 Fax: 601-815-3773 | |
Dr. Taylor Franklin Smith, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 330, Jackson, MS 39202 Phone: 601-353-2020 Fax: 601-714-5110 | |
Linda P Brodell, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6426 | |
Dr. Ricky Gordon Russell, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 501 Marshall St, Suite 603, Jackson, MS 39202 Phone: 601-985-9120 Fax: 601-985-9122 | |
Robert Elliott Browning, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 330, Jackson, MS 39202 Phone: 601-353-2020 Fax: 601-352-5988 | |
Charles Daniel Mcguffey, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 330, Jackson, MS 39202 Phone: 601-353-2020 | |
Dr. Victor John Ford Iii, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St Ste 330, Jackson, MS 39202 Phone: 601-353-2020 Fax: 601-714-5110 |