Mr Lionel B Fraser Jr, MD | |
971 Lakeland Dr Ste 360, Jackson, MS 39216-4607 | |
(601) 200-4370 | |
(601) 200-4375 |
Full Name | Mr Lionel B Fraser Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 47 Years |
Location | 971 Lakeland Dr Ste 360, 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 |
---|---|---|---|
1609983725 | NPI | - | NPPES |
0011047 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 09524 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Mississippi Health Services, Inc | 2961398029 | 11 |
Entity Name | Central Mississippi Health Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730120502 PECOS PAC ID: 2961398029 Enrollment ID: O20040225000632 |
Mailing Address | Practice Location Address |
---|---|
Mr Lionel B Fraser Jr, MD Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4749 | Mr Lionel B Fraser Jr, MD 971 Lakeland Dr Ste 360, Jackson, MS 39216-4607 Ph: (601) 200-4370 |
Robert Tramel, Urology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 769-798-4747 | |
Dr. Mark Runnels, Urology Medicare: Accepting Medicare Assignments Practice Location: 1421 N State St, Ste 403, Jackson, MS 39202 Phone: 601-353-9900 Fax: 601-353-3654 | |
Dr. Michael Tyler Wood, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5101 | |
Dr. Kieran Hynes, MD Urology Medicare: Medicare Enrolled Practice Location: 501 Marshall St Ste 301, Jackson, MS 39202 Phone: 601-353-9900 | |
Ronald D Davis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr, Suite 360, Jackson, MS 39216 Phone: 601-200-4370 Fax: 601-200-4375 | |
Joe R. Ross, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1421 N State St, Suite 403, Jackson, MS 39202 Phone: 601-353-9900 Fax: 601-353-3654 | |
Deep Asit Gandhi, MD Urology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |