| Dr Ignacio Velasco, DDS | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-6090 | |
| (601) 984-4949 |
| Full Name | Dr Ignacio Velasco |
|---|---|
| Gender | Male |
| Speciality | Maxillofacial Surgery |
| Experience | 17 Years |
| Location | 2500 N State St, Jackson, 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 |
|---|---|---|---|
| 1780083311 | NPI | - | NPPES |
| 08437071 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 15341809-8 (ZZ) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OS-538-17 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| 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 |
|---|---|
| Dr Ignacio Velasco, DDS 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6090 | Dr Ignacio Velasco, DDS 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6090 |
Mrs. Catherine Carter Sledge, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5604 Old Canton Rd, Jackson, MS 39211 Phone: 601-956-8239 Fax: 601-956-8320 | |
Dr. Candice Brittany April, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6028 | |
Dr. Jamie Alexandria White, DMD Dentist Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6001 | |
Barbara Daniela Olivos Bazaes, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6110 | |
Dr. Edwin L Redding, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4801 Old Canton Road, Jackson, MS 39211 Phone: 601-981-7122 Fax: 601-981-0569 | |
Shenika Sharee Kelly, Dentist Medicare: Medicare Enrolled Practice Location: 514 E Woodrow Wilson Ave Ste G, Jackson, MS 39216 Phone: 769-572-4425 Fax: 844-270-0967 | |
Dr. Acie Whitlock Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 514g E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-982-7636 Fax: 601-982-4536 |