Jason Hicks, MD | |
6919 Old Canton Rd, Ridgeland, MS 39157-1268 | |
(601) 956-0911 | |
(601) 957-8439 |
Full Name | Jason Hicks |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 6919 Old Canton Rd, Ridgeland, Mississippi |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023034097 | NPI | - | NPPES |
0629768 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18937 (Mississippi) | Primary |
208000000X | Pediatrics | 18937 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Internal Medicine And Pediatric Associates | 1052318177 | 3 |
Entity Name | Internal Medicine & Pediatric Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558460642 PECOS PAC ID: 1052318177 Enrollment ID: O20061103000080 |
Mailing Address | Practice Location Address |
---|---|
Jason Hicks, MD 6919 Old Canton Rd, Ridgeland, MS 39157-1268 Ph: () - | Jason Hicks, MD 6919 Old Canton Rd, Ridgeland, MS 39157-1268 Ph: (601) 956-0911 |
Dr. Wesley Dee Granger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157 Phone: 601-856-2460 Fax: 601-856-4687 | |
Burin Nuchniyom, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 604 Muirwood Cir, Ridgeland, MS 39157 Phone: 601-668-5850 | |
Manisha Sethi, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6919 Old Canton Rd, Ridgeland, MS 39157 Phone: 601-956-0911 | |
Dr. Patricia B Lawson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 775 Woodlands Pkwy, Ridgeland, MS 39157 Phone: 601-594-2650 | |
Steven Wayne Tincher, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 731 S Pear Orchard Road, Suite 16, Ridgeland, MS 39157 Phone: 601-326-5330 Fax: 601-326-5356 | |
Dr. Indira K Veerisetty, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Professional Parkway, Ridgeland, MS 39157 Phone: 601-856-2460 Fax: 601-856-4687 |