Dr Lynda Jackson-assad, | |
3502 W Northside Dr, Jackson, MS 39213-4454 | |
(601) 362-5321 | |
(601) 364-2600 |
Full Name | Dr Lynda Jackson-assad |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3502 W Northside Dr, 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 |
---|---|---|---|
1790729119 | NPI | - | NPPES |
00115979 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 13035 (Mississippi) | Primary |
Entity Name | Central Mississippi Civic Improvement Association, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134151442 PECOS PAC ID: 4183533235 Enrollment ID: O20040128000125 |
Mailing Address | Practice Location Address |
---|---|
Dr Lynda Jackson-assad, 3502 W Northside Dr, Jackson, MS 39213-4454 Ph: (601) 362-5321 | Dr Lynda Jackson-assad, 3502 W Northside Dr, Jackson, MS 39213-4454 Ph: (601) 362-5321 |
Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652 | |
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434 | |
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982 | |
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000 | |
Logan Sears Havard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151 | |
Sitesh Ranen Roy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5249 |