Ronald D Davis, MD | |
971 Lakeland Dr, Suite 360, Jackson, MS 39216-4643 | |
(601) 200-4370 | |
(601) 200-4375 |
Full Name | Ronald D Davis |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 39 Years |
Location | 971 Lakeland Dr, 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 |
---|---|---|---|
1255351367 | NPI | - | NPPES |
00110269 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 11495 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Dominic Medical Associates Llc | 0446303168 | 156 |
Entity Name | St. Dominic Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Mailing Address | Practice Location Address |
---|---|
Ronald D Davis, MD 971 Lakeland Dr, Suite 360, Jackson, MS 39216-4643 Ph: (601) 200-4370 | Ronald D Davis, MD 971 Lakeland Dr, Suite 360, Jackson, MS 39216-4643 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 | |
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 |