| Fred Wallace Rushton Jr, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 925-6805 | |
| (601) 926-4978 |
| Full Name | Fred Wallace Rushton Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194825323 | NPI | - | NPPES |
| 0013429 | Medicaid | MS | |
| 020046786 GRPCG6446 | Other | MS | RAILROAD MEDICARE |
| 158101 | Medicaid | AL | |
| P00462318 | Other | MS | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 06237 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Wallace Rushton Jr, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6426 | Fred Wallace Rushton Jr, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 925-6805 |
Dr. Wayne Shannon Orr Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5452 Fax: 601-815-3322 | |
Ian Michael Brastauskas, Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Jacob M Folse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 Fax: 601-984-6962 | |
Robert Eugene Schmieg Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-926-4978 | |
Dr. Hal Gregory Fiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202 Phone: 601-944-1781 Fax: 601-353-0439 | |
Pierre Edouard De Delva, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, University Of Mississippi Medical Center, Jackson, MS 39216 Phone: 601-984-5170 | |
Dr. John Magruder Sullivan Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |