| Dr Jack Bittell Sewell, MD | |
|
901 E Sunflower Rd, Cleveland, MS 38732-2833 | |
| (662) 846-0061 | |
| Not Available |
| Full Name | Dr Jack Bittell Sewell |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 901 E Sunflower Rd, Cleveland, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326032665 | NPI | - | NPPES |
| 134262411 | Other | FL | TAX ID |
| 58248 | Other | FL | BCBS |
| P00041336 | Other | FL | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME22971 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 05320 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Bittell Sewell, MD Po Box 468, Berwick, PA 18603-0468 Ph: (610) 956-0003 | Dr Jack Bittell Sewell, MD 901 E Sunflower Rd, Cleveland, MS 38732-2833 Ph: (662) 846-0061 |
Lashyra Celeste Cotton, PA-C Radiology Medicare: Not Enrolled in Medicare Practice Location: 800 N Pearman Ave, Cleveland, MS 38732 Phone: 888-757-0838 | |
Jason Kendell Morris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 618 Frederick Dr, Cleveland, MS 38732 Phone: 662-299-2999 Fax: 662-846-8989 | |
Thipavan Boone, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 East Sunflower Road, Cleveland, MS 38732 Phone: 662-846-0061 Fax: 662-846-2380 |