Julie P Wyatt, MD | |
3000 Old Canton Rd Ste 430, Jackson, MS 39216 | |
(601) 982-5441 | |
(601) 982-5442 |
Full Name | Julie P Wyatt |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 3000 Old Canton Rd Ste 430, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053532226 | NPI | - | NPPES |
P00781089 | Other | RR MEDICARE | |
08655862 | Medicaid | MS | |
P01193355 | Other | MS | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 20645 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | Julie Wyatt Dermatology Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114409422 PECOS PAC ID: 8224389465 Enrollment ID: O20180926003316 |
Mailing Address | Practice Location Address |
---|---|
Julie P Wyatt, MD 3000 Old Canton Rd Ste 430, Jackson, MS 39216-4225 Ph: (601) 982-5441 | Julie P Wyatt, MD 3000 Old Canton Rd Ste 430, Jackson, MS 39216 Ph: (601) 982-5441 |
Kimberley Helen Morine Ward, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000 | |
Dr. Joseph H Robinson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1278 | |
Lucette Liddell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Colleen Powers, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5604 | |
Dr. Ashton Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000 | |
Chemene Quinn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202 Phone: 601-968-1912 |