| Dr John Keith, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-2538 | |
| (601) 815-1854 |
| Full Name | Dr John Keith |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215960935 | NPI | - | NPPES |
| 0361166795 | Medicaid | IL | |
| 512G700003 | Other | MS | MS MEDICARE - GROUP |
| 00124339 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 17041 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | 036-116795 (Illinois) | Primary |
| Entity Name | App Of Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
| Entity Name | Havely Springs Emergency Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770090110 PECOS PAC ID: 6204298144 Enrollment ID: O20230809003314 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Keith, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2538 | Dr John Keith, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2538 |
Laura Elizabeth Vearrier, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 | |
Dr. Melanie Fox, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Gabriel William Tonkin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216 Phone: 601-984-5582 | |
John C Brooks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-982-6001 Fax: 601-982-8616 | |
Bob Hutchins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Ellis Ave, Jackson, MS 39209 Phone: 601-533-7016 | |
Lana Ngoc Phan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000 | |
Jeremy James Benoit, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5582 |