Mr Thomas David Elkin, PHD | |
2500 N State St, Jackson, MS 39216-4500 | |
(601) 984-5888 | |
(601) 984-5842 |
Full Name | Mr Thomas David Elkin |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 2500 N State St, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588607188 | NPI | - | NPPES |
00121308 | Medicaid | MS | |
680012381 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 37-645 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas David Elkin, PHD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5888 | Mr Thomas David Elkin, PHD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5888 |
Dr. Elizabeth Nosen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Robert Adams, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 N State St, Ste 400, Jackson, MS 39202 Phone: 601-944-1717 Fax: 601-944-9780 | |
Dr. Kevin Del Ben, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5888 Fax: 601-984-5842 | |
Dr. Lashun A. Young, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Ann Atkinson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5345 Highway 18 W, Jackson, MS 39209 Phone: 601-927-0188 | |
Dr. Matthew T. Tull, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Department Of Psychiatry, Jackson, MS 39216 Phone: 601-815-6518 | |
Patricia Logan, PH.D Psychologist Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5863 |