| Dr Emile Anthony Picarella Jr, MD | |
|
160 Fountains Blvd Ste B, Madison, MS 39110-6343 | |
| (601) 981-2525 | |
| (601) 981-3152 |
| Full Name | Dr Emile Anthony Picarella Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 160 Fountains Blvd Ste B, Madison, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467663906 | NPI | - | NPPES |
| 07189871 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 20017 (Mississippi) | Primary |
| Entity Name | Mississippi Premier Plastic Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639320864 PECOS PAC ID: 6204997679 Enrollment ID: O20081203000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emile Anthony Picarella Jr, MD 160 Fountains Blvd Ste B, Madison, MS 39110-6343 Ph: (601) 981-2525 | Dr Emile Anthony Picarella Jr, MD 160 Fountains Blvd Ste B, Madison, MS 39110-6343 Ph: (601) 981-2525 |
Dr. William Dotie Jackson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-981-2525 Fax: 601-981-3152 | |
Somjade Jay Songcharoen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-981-2525 Fax: 601-981-3152 | |
Frederick Cortney Sailes, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 160 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-981-2525 | |
Dr. Erica Hutcheson Bass, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-981-2525 Fax: 601-981-3152 |