| Jacob Cole Lee, PA-C | |
|
7545 Airways Blvd, Southaven, MS 38671-5806 | |
| (901) 759-3100 | |
| Not Available |
| Full Name | Jacob Cole Lee |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 7545 Airways Blvd, Southaven, 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 |
|---|---|---|---|
| 1104431485 | NPI | - | NPPES |
| Q063672 | Medicaid | TN | |
| 00827741 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Campbell Clinic Pc | 9638082076 | 142 |
| Campbell Clinic Pc | 9638082076 | 142 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Cole Lee, PA-C 1400 S Germantown Rd, Germantown, TN 38138-2205 Ph: (901) 759-3100 | Jacob Cole Lee, PA-C 7545 Airways Blvd, Southaven, MS 38671-5806 Ph: (901) 759-3100 |
Teona Wright, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-349-9116 | |
Nikara Kilpatrick, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 9140 Highway 51 N, Southaven, MS 38671 Phone: 662-280-8222 | |
Brooklyn Paige Snell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 | |
Brandye Nicole Wilson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Goodman Rd W Ste D, Southaven, MS 38671 Phone: 662-932-3560 Fax: 662-534-2330 | |
Donald Wayne Washburn Iii, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 | |
Pamela Lynn Davis, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620 |