| Dr Jessica Lilley, MD | |
|
330 W Jefferson St, Tupelo, MS 38804-3936 | |
| (624) 320-2006 | |
| (662) 432-0199 |
| Full Name | Dr Jessica Lilley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 330 W Jefferson St, Tupelo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093912479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MT191145 (Pennsylvania) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 22722 (Mississippi) | Primary |
| Entity Name | North Mississippi Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
| Entity Name | Mississippi Center For Advanced Medicine, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790227627 PECOS PAC ID: 1951693282 Enrollment ID: O20160707000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Lilley, MD 7731 Old Canton Rd Ste B, Madison, MS 39110-6115 Ph: (601) 499-0935 | Dr Jessica Lilley, MD 330 W Jefferson St, Tupelo, MS 38804-3936 Ph: (624) 320-2006 |
Milan Edward Ivancic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg, Suite H-3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030 | |
Dr. Preeti Singh, MD, MPH, FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4566 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-8071 | |
Ginger L Pole, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4566 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-4905 Fax: 662-377-4906 | |
Dr. Frank W Wilburn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350 | |
Dennis I Wright, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4566 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-4905 Fax: 662-377-4906 | |
Jhoclay Chu See, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-7536 |