| Dr Colleen Powers, MD | |
|
1659 Lelia Dr, Jackson, MS 39216-4818 | |
| (601) 910-3004 | |
| (601) 910-3005 |
| Full Name | Dr Colleen Powers |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 6 Years |
| Location | 1659 Lelia Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306475876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | T-4118 (Mississippi) | Secondary |
| 207N00000X | Dermatology | 33276 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magnolia Dermatology, Pllc | 0749576031 | 12 |
| Entity Name | Magnolia Dermatology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841645470 PECOS PAC ID: 0749576031 Enrollment ID: O20160913001804 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Colleen Powers, MD 815 Highway 80 E, Clinton, MS 39056-5252 Ph: (601) 910-3004 | Dr Colleen Powers, MD 1659 Lelia Dr, Jackson, MS 39216-4818 Ph: (601) 910-3004 |
Julie P Wyatt, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3000 Old Canton Rd Ste 430, Jackson, MS 39216 Phone: 601-982-5441 Fax: 601-982-5442 | |
Kimberley Helen Morine Ward, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000 | |
John Mark Albrecht, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Joseph H Robinson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1278 | |
Lucette Liddell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Chemene Quinn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202 Phone: 601-968-1912 | |
Dr. Ashley Nicole Emerson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1675 Lakeland Dr Ste 200, Jackson, MS 39216 Phone: 769-768-7546 Fax: 769-768-7547 |