| Mr Anthony Bradley Boland, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-2680 | |
| (601) 815-4563 |
| Full Name | Mr Anthony Bradley Boland |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437135373 | NPI | - | NPPES |
| 07188733 | Medicaid | MS | |
| 100033107 | Other | TN | PHP TENNCARE |
| 4078780 | Other | AETNA | |
| 3153656 | Other | TN | BLUECROSS OF TN |
| 62178953301 | Other | TN | JOHN DEERE HEALTHCARE |
| 0140040322 | Other | TN | CIGNA HMO |
| 3740047 | Other | TN | UNITED HEALTHCARE |
| 00832917B | Medicaid | GA | |
| 009965915 | Medicaid | AL | |
| 56812 | Other | FIRST HEALTH | |
| P01189946 | Other | MS | RAILROAD MEDICARE PTAN |
| 3812941 | Medicaid | TN | |
| 8490567 | Medicaid | WA |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anthony Bradley Boland, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2680 | Mr Anthony Bradley Boland, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2680 |
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 |