Dr Kentrell Marie Liddell, MD in Jackson, MS

Dr Kentrell Marie Liddell, MD is a Family Medicine physician based in Jackson, Mississippi. Dr Kentrell Marie Liddell is licensed to practice in Mississippi (license number 17997) and her current practice location is 2104 Thousand Oaks Dr, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 346-7450.

NPI number for Dr Kentrell Marie Liddell is 1659384063 and her current mailing address is 2104 Thousand Oaks Dr, Jackson, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659384063.

Contact Information

	Dr Kentrell Marie Liddell, MD
	2104 Thousand Oaks Dr, Jackson, MS 39212-2048
	(601) 346-7450
	(601) 346-7451

Map and Direction

Physician's Profile

Full Name	Dr Kentrell Marie Liddell
Gender	Female
Speciality	Family Medicine
Location	2104 Thousand Oaks Dr, Jackson, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1659384063
Provider Enumeration Date: 08/15/2006
Last Update Date: 04/09/2013

Medical Identifiers

Medical identifiers for Dr Kentrell Marie Liddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659384063	NPI	-	NPPES
08072071	Medicaid	MS
11859914	Other	MS	UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	17997 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kentrell Marie Liddell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kentrell Marie Liddell, MD 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 Ph: (601) 346-7450	Dr Kentrell Marie Liddell, MD 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 Ph: (601) 346-7450

Reviews and Comments

Family Medicine Doctors in Jackson, MS

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

Dr Kentrell Marie Liddell, MD - Family Medicine in Jackson, MS