Christian Dean Young, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. His current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 984-5604.
Christian Dean Young is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154940856.
Physician's Profile
Full Name | Christian Dean Young |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2500 N State St, Jackson, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154940856
- Provider Enumeration Date: 04/13/2020
- Last Update Date: 07/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406380179
- Enrollment ID: I20241118001640
Medical Identifiers
Medical identifiers for Christian Dean Young such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154940856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 32651 (Mississippi) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christian Dean Young is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christian Dean Young, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5604 | Christian Dean Young, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5604 |
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