John M Porter, MD | |
2500 N State St, Ummc Department Of Surgery, Jackson, MS 39216-4500 | |
(601) 815-1312 | |
(601) 815-4570 |
Full Name | John M Porter |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 40 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487735122 | NPI | - | NPPES |
P01185849 | Other | MS | RAILROAD MEDICARE |
P00797090 | Other | MS | RAILROAD MEDICARE |
00736216 | Medicaid | MS | |
642422 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 19827 (Mississippi) | Primary |
2086S0127X | Surgery - Trauma Surgery | 19827 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cooper University Hospital | Camden, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cooper University Trauma Physicians, Pc | 3678569951 | 40 |
Entity Name | Cooper Surgical Associates, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427177195 PECOS PAC ID: 3274430764 Enrollment ID: O20031213000037 |
Entity Name | Cooper University Trauma Physicians, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790724730 PECOS PAC ID: 3678569951 Enrollment ID: O20040422000430 |
Mailing Address | Practice Location Address |
---|---|
John M Porter, MD 2500 N State St, Ummc Department Of Surgery, Jackson, MS 39216-4500 Ph: (601) 815-1312 | John M Porter, MD 2500 N State St, Ummc Department Of Surgery, Jackson, MS 39216-4500 Ph: (601) 815-1312 |
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 |