Dr Leandro Antonio Mena, MD | |
2500 N State St, Division Infectious Diseases, Jackson, MS 39216-4500 | |
(601) 984-5560 | |
(601) 815-4014 |
Full Name | Dr Leandro Antonio Mena |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 2500 N State St, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497718027 | NPI | - | NPPES |
P01245275 | Other | MS | RAILROAD PTAN |
08920791 | Medicaid | MS | |
1576107 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 13129 (Louisiana) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 17860 (Mississippi) | Primary |
Entity Name | Ms State Department Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
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 |
Entity Name | My Brother's Keeper Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609128339 PECOS PAC ID: 4082859004 Enrollment ID: O20130322000283 |
Mailing Address | Practice Location Address |
---|---|
Dr Leandro Antonio Mena, MD 2500 North State Street, Division Infectious Diseases, Jackson, MS 39216 Ph: (601) 984-5560 | Dr Leandro Antonio Mena, MD 2500 N State St, Division Infectious Diseases, Jackson, MS 39216-4500 Ph: (601) 984-5560 |
Graves Crawley Stubblefield Jr., M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844 | |
Dr. Rebecca Chick Pace, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Jewelian Akbar Baig, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645 | |
Jo P Deal, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441 | |
Samuel Hammond Love, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 40, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838 | |
Meghan Alford Luter, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532 | |
Dr. Taylor Brooke Winstead, MD, PHARMD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |