Dr Jacob C Parker, DO, MD is a
Specialist/technologist, Other based in Hattiesburg, Mississippi. Dr Jacob C Parker is licensed to practice in Mississippi (license number 800341120) and his current practice location is
300 Fairway Dr, Hattiesburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 307-5339.
NPI number for Dr Jacob C Parker is 1326510751 and his current mailing address is 300 Fairway Dr, Hattiesburg, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326510751.
Healthcare Provider's Profile
Full Name | Dr Jacob C Parker |
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Gender | Male |
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Speciality | Specialist/technologist, Other |
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Location | 300 Fairway Dr, Hattiesburg, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326510751
- Provider Enumeration Date: 12/24/2018
- Last Update Date: 04/26/2024
Medical Identifiers
Medical identifiers for Dr Jacob C Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326510751 | NPI | - | NPPES |
251123217211 | Other | MS | CLIA LICENSES |
7NQ3-KD9-CK19 | Medicaid | MS | |
800341120 | Medicaid | MS | |
25187411 | Other | MS | CLINICAL LABORATORY IMPROVEMENT AMENDMENTS |
MS80885 | Other | MS | MEDICAL LICENSES |
314125401870 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TP0814X | Psychologist - Psychoanalysis | 8420042213 (Illinois) | Secondary |
163WC0400X | Registered Nurse - Case Management | MS80885 (Mississippi) | Secondary |
246Z00000X | Specialist/technologist, Other | 800341120 (Hawaii) | Secondary |
246Z00000X | Specialist/technologist, Other | 800341120 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob C Parker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jacob C Parker, DO, MD 300 Fairway Dr, Hattiesburg, MS 39401-7715 Ph: (601) 329-1321 | Dr Jacob C Parker, DO, MD 300 Fairway Dr, Hattiesburg, MS 39401-7715 Ph: (601) 307-5339 |
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