| Dr Melissa N Frascogna, | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-2195 | |
| (601) 815-3607 |
| Full Name | Dr Melissa N Frascogna |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric 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 |
|---|---|---|---|
| 1306880661 | NPI | - | NPPES |
| 051535676 | Other | AL | BCBS PROVIDER NUMBER |
| 157459 | Medicaid | AL | |
| 009937983 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 00027421 (Alabama) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 20662 (Mississippi) | Primary |
| 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 Melissa N Frascogna, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2195 | Dr Melissa N Frascogna, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-2195 |
Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652 | |
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434 | |
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982 | |
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000 | |
Daniel Ulises Torres Arias, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 888-815-2005 | |
Logan Sears Havard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151 |