| Dr Jackson Scott Thomas, MD | |
|
2124 14th St, Meridian, MS 39301-4040 | |
| (601) 553-6000 | |
| (601) 703-0124 |
| Full Name | Dr Jackson Scott Thomas |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2124 14th St, Meridian, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982702155 | NPI | - | NPPES |
| 00119589 | Medicaid | MS | |
| MS15444 | Other | MS | MS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 15444 (Mississippi) | Primary |
| Entity Name | Ottumwa Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jackson Scott Thomas, MD 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (877) 348-1281 | Dr Jackson Scott Thomas, MD 2124 14th St, Meridian, MS 39301-4040 Ph: (601) 553-6000 |
Dr. James P Wilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2024 15th St Fl 2, Meridian, MS 39301 Phone: 601-553-2000 Fax: 601-482-8219 | |
Dr. William Edward Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-483-1753 | |
Dr. Lara L. Ross, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Hwy 19 N, Meridian, MS 39307 Phone: 601-696-3232 Fax: 601-696-3231 | |
Dr. William B Simmons, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2024 15th St, 5th Floor North, Meridian, MS 39301 Phone: 601-693-2777 | |
William Robert Justice Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 22nd Avenue, Medical Towers 3, Third Floor, Suite B, Meridian, MS 39301 Phone: 601-703-8370 Fax: 601-703-8397 | |
Dr. Mary Alice Schaefer, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7961 Van Zyverden Rd, Meridian, MS 39305 Phone: 256-509-0590 | |
Akhtar J. Siddiqui, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 905c S Frontage Rd, Meridian, MS 39301 Phone: 601-486-4210 Fax: 601-486-4219 |