Dr Lara L Ross, MD | |
1500 Hwy 19 N, Meridian, MS 39307-5335 | |
(601) 696-3232 | |
(601) 696-3231 |
Full Name | Dr Lara L Ross |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1500 Hwy 19 N, Meridian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093797623 | NPI | - | NPPES |
P00113837 | Other | RAILROAD MEDICARE | |
731-04011 | Other | BLUE CROSS OF AL | |
009946185 | Medicaid | AL | |
09124271 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 18007 (Mississippi) | Primary |
Entity Name | Laird Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
Mailing Address | Practice Location Address |
---|---|
Dr Lara L Ross, MD Po Box 5166, Meridian, MS 39302-5166 Ph: (601) 703-4282 | Dr Lara L Ross, MD 1500 Hwy 19 N, Meridian, MS 39307-5335 Ph: (601) 696-3232 |
Dr. James P Wilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2024 15th St Fl 2, Meridian, MS 39301 Phone: 601-553-2000 Fax: 601-482-8219 | |
Dr. William Edward Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-483-1753 | |
Dr. William B Simmons, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2024 15th St, 5th Floor North, Meridian, MS 39301 Phone: 601-693-2777 | |
William Robert Justice Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 22nd Avenue, Medical Towers 3, Third Floor, Suite B, Meridian, MS 39301 Phone: 601-703-8370 Fax: 601-703-8397 | |
Dr. Mary Alice Schaefer, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7961 Van Zyverden Rd, Meridian, MS 39305 Phone: 256-509-0590 | |
Akhtar J. Siddiqui, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 905c S Frontage Rd, Meridian, MS 39301 Phone: 601-486-4210 Fax: 601-486-4219 |