James Wynn Sr, MD is a medicare enrolled "Transplant Surgery" physician in Jackson, Mississippi. He went to Medical College Of Georgia School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Au Medical Associates Inc, State Of Mississippi - University Of Mississippi Medical Center and 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 |
---|
Speciality | Vascular Surgery |
---|
Experience | 44 Years |
---|
Location | 2500 N State St, 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. |
Medical Education and Training:
- James Wynn Sr attended and graduated from Medical College Of Georgia School Of Medicine in 1980
NPI Data:
- NPI Number: 1568573228
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 08/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 0345281366
- Enrollment ID: I20050519000312
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Au Medical Associates Inc | 9931013513 | 585 |
State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 782 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Wynn Sr allows following entities to bill medicare on his behalf.
Entity Name | Au Medical Associates Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
---|
Entity Name | Wellstar Medical Group, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
---|
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 |
Reviews and Comments