Federico Gonzalez-fernandez, MD | |
2500 N State St, Jackson, MS 39216-4500 | |
(601) 984-5017 | |
(601) 984-5042 |
Full Name | Federico Gonzalez-fernandez |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology |
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 |
---|---|---|---|
1205808342 | NPI | - | NPPES |
03731244 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | 225230 (New York) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 23727 (Mississippi) | Primary |
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 |
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Federico Gonzalez-fernandez, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5017 | Federico Gonzalez-fernandez, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5017 |
Sawsan Faroussi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1530 Fax: 601-984-1531 | |
Kathryn B Brown, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-968-3070 Fax: 601-974-6286 | |
Jack Roy Lewin, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1530 Fax: 601-984-1531 | |
Jennifer S Schulmeier, MD Pathology Medicare: Medicare Enrolled Practice Location: 3120 Old Canton Rd, Jackson, MS 39216 Phone: 601-362-9851 Fax: 601-982-9025 | |
Dr. Alexander Vortmeyer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1530 Fax: 601-984-1531 | |
Dr. Volney E Pierce, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept Of Pathology, Jackson, MS 39216 Phone: 601-984-6426 Fax: 601-984-6439 | |
Elizabeth Rhyne Flowers, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1530 Fax: 601-984-1531 |