| Carroll M Mcleod, MD | |
|
1325 E Fortification St, Jackson, MS 39202-2442 | |
| (601) 354-4488 | |
| (601) 351-5980 |
| Full Name | Carroll M Mcleod |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 38 Years |
| Location | 1325 E Fortification 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 |
|---|---|---|---|
| 1245383033 | NPI | - | NPPES |
| 00110112 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 12138 (Mississippi) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 12138 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Methodist Rehab Ctr | Jackson, MS | Hospital |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Sports Medicine And Orthopaedic Center | 4981685310 | 75 |
| Entity Name | Mississippi Sports Medicine & Orthopaedic Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415560 PECOS PAC ID: 4981685310 Enrollment ID: O20040601000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll M Mcleod, MD 1325 E Fortification St, Jackson, MS 39202-2442 Ph: (601) 354-4488 | Carroll M Mcleod, MD 1325 E Fortification St, Jackson, MS 39202-2442 Ph: (601) 354-4488 |
Dr. Lori Hill Marshall, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 514f E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-982-3132 Fax: 601-982-3136 | |
Dr. Dennis Ryan Marcelo, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-968-1000 |