James Wynn Sr, MD is a medicare enrolled "Transplant Surgery" physician in Jackson, Mississippi. His current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 984-5100.
James Wynn Sr is licensed to practice in Mississippi (license number 23233) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568573228.
Physician's Profile
| Full Name | James Wynn Sr |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2500 N State St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- James Wynn Sr attended and graduated from in
NPI Data:
- NPI Number: 1568573228
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 08/05/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for James Wynn Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568573228 | NPI | - | NPPES |
| G24126 | Medicaid | SC | |
| 07888702 | Medicaid | MS | |
| 000345364A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | 024126 (Georgia) | Secondary |
| 204F00000X | Transplant Surgery | 24126 (Georgia) | Secondary |
| 208600000X | Surgery | 24126 (Georgia) | Secondary |
| 204F00000X | Transplant Surgery | 23233 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Wynn Sr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James Wynn Sr, MD
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 815-3135 | James Wynn Sr, MD
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 984-5100 |
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