| Carolyn Nelson, | |
|
2500 N State St, Department Of Anesthesiology S-108, Jackson, MS 39216-4500 | |
| (601) 984-5914 | |
| (601) 984-5915 |
| Full Name | Carolyn Nelson |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| 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 |
|---|---|---|---|
| 1962864942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 29074 (Mississippi) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 |
|---|---|
| Carolyn Nelson, 504 Clinton Center Drive, Cbo-suite 4300, Clinton, MS 39056-5610 Ph: (601) 984-5914 | Carolyn Nelson, 2500 N State St, Department Of Anesthesiology S-108, Jackson, MS 39216-4500 Ph: (601) 984-5914 |
Stephen Commiskey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Jessica Safley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Dr. Larkin H Mitchell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 | |
Dr. Daniel Castillo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept Of Anesthesiology, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Edwin P Sudduth, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 202, Jackson, MS 39216 Phone: 601-362-1990 Fax: 601-362-1988 | |
Dr. Melissa Johnson Pippin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 901-270-4898 | |
Dr. Martha Elizabeth Fernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 |