Dr Robert T Brodell, MD | |
2500 North State Street, Jackson, MS 39216-4500 | |
(601) 815-3374 | |
Not Available |
Full Name | Dr Robert T Brodell |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 45 Years |
Location | 2500 North State Street, 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 |
---|---|---|---|
1598765943 | NPI | - | NPPES |
P01087832 | Other | MS | RAILROAD MEDICARE |
08970301 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 35051453 (Ohio) | Secondary |
207ND0900X | Dermatology - Dermatopathology | 35051453 (Ohio) | Secondary |
207N00000X | Dermatology | 22119 (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 |
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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 Robert T Brodell, MD 2500 North State Street, Ummc-department Of Dermatology, Jackson, MS 39216-4500 Ph: (601) 815-3374 | Dr Robert T Brodell, MD 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 815-3374 |
Julie P Wyatt, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3000 Old Canton Rd Ste 430, Jackson, MS 39216 Phone: 601-982-5441 Fax: 601-982-5442 | |
Kimberley Helen Morine Ward, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000 | |
Dr. Joseph H Robinson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1278 | |
Lucette Liddell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Colleen Powers, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5604 | |
Dr. Ashton Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000 | |
Chemene Quinn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202 Phone: 601-968-1912 |