| Asthma & Allergy Center Of N. Jackson | |
|
5440 Watkins Dr Ste A Jackson MS 39206-2034 | |
| (601) 981-3636 | |
| (601) 982-5335 |
| Full Name | Asthma & Allergy Center Of N. Jackson |
|---|---|
| Speciality | Clinic/Center |
| Location | 5440 Watkins Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Sheryll Fletcher-vincent (OFFICER) |
| Authorized Official Contact | 6019813636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asthma & Allergy Center Of N. Jackson 5440 Watkins Dr Ste A Jackson MS 39206-2034 Ph: (601) 981-3636 | Asthma & Allergy Center Of N. Jackson 5440 Watkins Dr Ste A Jackson MS 39206-2034 Ph: (601) 981-3636 |
| NPI Number | 1083671895 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 06/15/2010 |
| Medicare PECOS PAC ID | 3274425004 |
|---|---|
| Medicare Enrollment ID | O20040326000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083671895 | NPI | - | NPPES |
| 00222826 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sheryll Angela Vincent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063479723 PECOS PAC ID: 9931091774 Enrollment ID: I20040329000500 |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |