Joseph Jackson, DO | |
119 Robertson St, Okolona, MS 38860-1620 | |
(662) 447-3882 | |
(662) 447-2265 |
Full Name | Joseph Jackson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 119 Robertson St, Okolona, 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 |
---|---|---|---|
1922074806 | NPI | - | NPPES |
01371061 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 17430 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Mississippi Medical Center | Tupelo, MS | Hospital |
Yalobusha General Hospital | Water valley, MS | Hospital |
North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Mississippi Medical Clinics Inc | 6103736665 | 114 |
Entity Name | North Mississippi Medical Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
Mailing Address | Practice Location Address |
---|---|
Joseph Jackson, DO 119 Robertson St, Okolona, MS 38860-1620 Ph: (662) 447-3882 | Joseph Jackson, DO 119 Robertson St, Okolona, MS 38860-1620 Ph: (662) 447-3882 |
Donald Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 Robertson St, Okolona, MS 38860 Phone: 662-447-3882 Fax: 662-447-2265 | |
Peter F Wisniewski I, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 518 West Dr, Okolona, MS 38860 Phone: 662-447-1339 Fax: 662-447-1386 |