Dr Charles Paul Clericuzio, - Surgery in Jackson, MS

Dr Charles Paul Clericuzio, is a Surgery physician based in Jackson, Mississippi. Dr Charles Paul Clericuzio is licensed to practice in Texas (license number F2199) and his current practice location is 1500 E. Woodrow Wilson Drive, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 362-4471.

NPI number for Dr Charles Paul Clericuzio is 1558380238 and his current mailing address is 1500 E. Woodrow Wilson Drive, Jackson, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558380238.

Contact Information

1500 E. Woodrow Wilson Drive
Jackson
MS 39216-5116
(601) 362-4471
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles Paul Clericuzio
GenderMale
SpecialitySurgery
LocationJackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558380238
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 07/10/2007

Medical Identifiers

Medical identifiers for Dr Charles Paul Clericuzio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558380238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery F2199 (Texas)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. Dr Charles Paul Clericuzio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles Paul Clericuzio,
1500 E. Woodrow Wilson Drive
Jackson
MS 39216-5116

Ph: () -
Dr Charles Paul Clericuzio,
1500 E. Woodrow Wilson Drive
Jackson
MS 39216-5116

Ph: (601) 362-4471

Reviews and Comments

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