| Dr John Magruder Sullivan Iii, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-1000 | |
| Not Available |
| Full Name | Dr John Magruder Sullivan Iii |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 1 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 |
|---|---|---|---|
| 1043872948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | T-3879 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health Wesley | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plastic Surgery Center Of Hattiesburg, Pllc | 6103921986 | 3 |
| Wesley Physician Services Llc | 2466559851 | 42 |
| Entity Name | Plastic Surgery Center of Hattiesburg, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396895413 PECOS PAC ID: 6103921986 Enrollment ID: O20070424000289 |
| Entity Name | Wesley Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538200209 PECOS PAC ID: 2466559851 Enrollment ID: O20070518000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Magruder Sullivan Iii, MD 37 Enclave Cir, Ridgeland, MS 39157-4522 Ph: (601) 953-3304 | Dr John Magruder Sullivan Iii, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000 |
Sara Graycen Wiltshire, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 662-466-3674 |
Robert Eugene Schmieg Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-926-4978 |
Felicia Sedwick, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-1292 |
Dr. Hal Gregory Fiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202 Phone: 601-944-1781 Fax: 601-353-0439 |
Pierre Edouard De Delva, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 220, Jackson, MS 39216 Phone: 601-200-2780 |
Jeffrey H Glover, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-6060 Fax: 601-200-6767 |
Dr. Carl Randle Voyles, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 501 Marshall St, Suite 500, Jackson, MS 39202 Phone: 601-948-1411 Fax: 601-948-0090 |