Ujjwal Dhar, MD | |
969 Lakeland Dr, Jackson, MS 39216-4606 | |
(601) 200-4714 | |
(601) 200-4718 |
Full Name | Ujjwal Dhar |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 34 Years |
Location | 969 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 |
---|---|---|---|
1841223377 | NPI | - | NPPES |
03900372 | Medicaid | MS | |
29136 | Other | TN | TLC |
3328251 | Medicaid | TN | |
4099087 | Other | TN | BLUE CROSS BLUE SHIELD |
P01059006 | Other | MS | RAILROAD MEDICARE |
Facility Name | Location | Facility Type |
---|---|---|
Sta Home Health And Hospice | Clinton, MS | Home health agency |
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Merit Health River Oaks | Flowood, MS | Hospital |
Copiah County Medical Center | Hazlehurst, 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 |
---|---|
Ujjwal Dhar, MD Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4749 | Ujjwal Dhar, MD 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (601) 200-4714 |
Graves Crawley Stubblefield Jr., M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844 | |
Dr. Rebecca Chick Pace, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Jewelian Akbar Baig, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645 | |
Jo P Deal, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441 | |
Samuel Hammond Love, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 40, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838 | |
Meghan Alford Luter, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532 | |
Dr. Taylor Brooke Winstead, MD, PHARMD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |