| Dr Jeremy Don Jackson, MD | |
|
2500 N State St, Dept. Of Medicine, Jackson, MS 39216-4500 | |
| (601) 984-5601 | |
| (601) 984-6665 |
| Full Name | Dr Jeremy Don Jackson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 20 Years |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790996544 | NPI | - | NPPES |
| P01402453 | Other | MS | RR MEDICARE |
| 02585707 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | T-1892 (Mississippi) | Secondary |
| 207N00000X | Dermatology | 20241 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| 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 Jeremy Don Jackson, MD 2500 N State St, Ummc-department Of Dermatology, Jackson, MS 39216-4500 Ph: (601) 815-3374 | Dr Jeremy Don Jackson, MD 2500 N State St, Dept. Of Medicine, Jackson, MS 39216-4500 Ph: (601) 984-5601 |
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 | |
Dr. Colleen Powers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5604 | |
Dr. Ashton Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000 |