Juvonda S Hodge, MD | |
2500 N State St, Jackson, MS 39216-4500 | |
(601) 815-1229 | |
(601) 815-4570 |
Full Name | Juvonda S Hodge |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 10 Years |
Location | 2500 N State St, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831144260 | NPI | - | NPPES |
00126030 | Medicaid | MS | |
009994070 | Medicaid | AL | |
009994110 | Medicaid | AL | |
264984500 | Medicaid | FL | |
51510858 | Other | AL | BLUE CROSS |
020053576 | Other | GA | RAILROAD MEDICARE PTAN |
51537957 | Other | AL | BCBS - 1720 CENTER ST |
17-00211 | Other | AL | UNITED HEALTH CARE |
51510674 | Other | AL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 24700 (Alabama) | Secondary |
208600000X | Surgery | 71993 (Georgia) | Secondary |
208600000X | Surgery | 32486 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grady Memorial Hospital | Atlanta, GA | Hospital |
University Of Mississippi Med Center | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Medical Care Foundation Inc | 4981501814 | 801 |
State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 804 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Mailing Address | Practice Location Address |
---|---|
Juvonda S Hodge, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-1318 | Juvonda S Hodge, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-1229 |
Dr. Wayne Shannon Orr Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5452 Fax: 601-815-3322 | |
Jacob M Folse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 Fax: 601-984-6962 | |
Robert Eugene Schmieg Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-926-4978 | |
Dr. Hal Gregory Fiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202 Phone: 601-944-1781 Fax: 601-353-0439 | |
Pierre Edouard De Delva, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, University Of Mississippi Medical Center, Jackson, MS 39216 Phone: 601-984-5170 | |
Dr. John Magruder Sullivan Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Carl Randle Voyles, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 501 Marshall St, Suite 500, Jackson, MS 39202 Phone: 601-948-1411 Fax: 601-948-0090 |