Dr Samuel P, Hopper, MD | |
1867 Crane Ridge Dr Ste 101b, Jackson, MS 39216-4956 | |
(601) 362-8776 | |
(601) 354-8786 |
Full Name | Dr Samuel P, Hopper |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1867 Crane Ridge Dr Ste 101b, 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 |
---|---|---|---|
1265543623 | NPI | - | NPPES |
0019066 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 13057 (Alabama) | Primary |
Entity Name | University Of Alabama Health Services Foundation, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel P, Hopper, MD 703 Volker Hl, Birmingham, AL 35294-0001 Ph: (205) 934-3795 | Dr Samuel P, Hopper, MD 1867 Crane Ridge Dr Ste 101b, Jackson, MS 39216-4956 Ph: (601) 362-8776 |
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 |