| Dr Anthony Wade Jackson Sr, MD | |
|
152 Highway 7 S, Oxford, MS 38655-5392 | |
| (662) 488-8878 | |
| Not Available |
| Full Name | Dr Anthony Wade Jackson Sr |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 35 Years |
| Location | 152 Highway 7 S, Oxford, 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 |
|---|---|---|---|
| 1154477453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 14917 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Commission On Mental Illness/mental Retardation | 6103084041 | 17 |
| Entity Name | Yalobusha General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740380914 PECOS PAC ID: 4486601648 Enrollment ID: O20050331000530 |
| Entity Name | North Mississippi Commission On Mental Illness/mental Retardation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558468694 PECOS PAC ID: 6103084041 Enrollment ID: O20120222001054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Wade Jackson Sr, MD 152 Highway 7 S, Oxford, MS 38655-5392 Ph: (662) 488-8878 | Dr Anthony Wade Jackson Sr, MD 152 Highway 7 S, Oxford, MS 38655-5392 Ph: (662) 488-8878 |
Timothy Richard Kelly, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 510 Azalea Dr Ste 200, Oxford, MS 38655 Phone: 662-236-6696 | |
Malcolm M Roland, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2908 South Lamar Blvd. Suite 100, Oxford, MS 38655 Phone: 662-281-0112 Fax: 662-281-0943 | |
Dr. Isham Harrison Evans, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 401 Jackson Ave E, Oxford, MS 38655 Phone: 662-236-5773 Fax: 662-236-5844 | |
Dr. Megan Blair Edwards, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2908 S Lamar Blvd Ste 100, Oxford, MS 38655 Phone: 662-281-0112 Fax: 662-281-0943 | |
Robert B Culpepper, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 152 Highway 7 S, Oxford, MS 38655 Phone: 662-234-7521 Fax: 662-236-3071 | |
Dr. Richard Stephen Pannel, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2086 Old Taylor Rd, Suite 1012, Oxford, MS 38655 Phone: 662-380-5022 Fax: 662-380-5023 |