| Dr Charles S O'mara, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-5105 | |
| (601) 815-3322 |
| Full Name | Dr Charles S O'mara |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 2500 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 |
|---|---|---|---|
| 1215088364 | NPI | - | NPPES |
| 0116204 | Medicaid | MS | |
| 753068151 | Other | MHP | |
| 753068151 | Other | UHC | |
| 753068151017 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 09537 (Mississippi) | Primary |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles S O'mara, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5105 | Dr Charles S O'mara, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5105 |
Dr. Richard P Cochran, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 406-640-4933 | |
Pierre Edouard De Delva, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 657, Jackson, MS 39216 Phone: 601-200-2780 Fax: 601-200-2788 | |
Dr. Lawrence Lee Creswell, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5170 Fax: 601-984-5198 | |
Dr. Craig Vorpe Adams, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 | |
Dr. Ali Dodge-khatami, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Division Of Pediatric Cardiac Surgery, Jackson, MS 39216 Phone: 601-984-4693 | |
Dr. Albert Michael Koury, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Suite 100, Jackson, MS 39202 Phone: 601-969-7467 Fax: 601-948-1417 |