David Chan Henry, MD | |
1151 N State St, Suite 311, Jackson, MS 39202 | |
(601) 969-1171 | |
(601) 969-1173 |
Full Name | David Chan Henry |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1151 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 |
---|---|---|---|
1922151711 | NPI | - | NPPES |
00011581 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 07016 (Mississippi) | Primary |
Entity Name | Jackson Anesthesia Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780737577 PECOS PAC ID: 3870585904 Enrollment ID: O20040331000285 |
Entity Name | Willow Anesthesia Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308 |
Mailing Address | Practice Location Address |
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David Chan Henry, MD Po Box 55448, Jackson, MS 39296 Ph: (601) 969-1171 | David Chan Henry, MD 1151 N State St, Suite 311, Jackson, MS 39202 Ph: (601) 969-1171 |
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 |