Jerald Michael Mefferd, MD | |
1861 Sh 276, Rockwall, TX 75032 | |
(972) 722-4992 | |
(972) 722-4995 |
Full Name | Jerald Michael Mefferd |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1861 Sh 276, Rockwall, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356737985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | R8053 (Texas) | Secondary |
208000000X | Pediatrics | R8053 (Texas) | Primary |
Entity Name | Ascension Medical Group Promed |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
Mailing Address | Practice Location Address |
---|---|
Jerald Michael Mefferd, MD 2500 N. State St, Dept Of Pediatrics, Jackson, MS 39216 Ph: (601) 984-5200 | Jerald Michael Mefferd, MD 1861 Sh 276, Rockwall, TX 75032 Ph: (972) 722-4992 |
Dr. Okechukwu Jude Okeke, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3150 Horizon Rd, Rockwall, TX 75032 Phone: 214-343-6663 Fax: 214-343-2814 | |
Casey Ellen Drake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 E Interstate 30 Ste 100, Rockwall, TX 75087 Phone: 214-912-1531 Fax: 469-757-4890 | |
Mr. Kurt L Pflieger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2504 Ridge Rd, Suite 102, Rockwall, TX 75087 Phone: 972-771-1794 Fax: 972-771-1648 | |
Dr. Trevor Dylan Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E I30 Ste 100, Rockwall, TX 75087 Phone: 972-772-3100 Fax: 469-757-4890 | |
Edilgrace A Pecson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 W Ralph Hall Pkwy, Suite 135, Rockwall, TX 75032 Phone: 972-772-3100 Fax: 214-520-7120 | |
Dr. Anne Catherine Ewert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1861 Sh 276, Rockwall, TX 75032 Phone: 972-722-4992 Fax: 972-722-4995 | |
Todd Evan Benson Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 E I30 Ste 100, Rockwall, TX 75087 Phone: 972-772-3100 Fax: 469-757-4890 |