| Dr Michael Coleman Graeber, MD | |
|
971 Lakeland Dr, Suite 560 Muscle And Nerve Pa, Jackson, MS 39216-4607 | |
| (601) 982-9826 | |
| (601) 982-9535 |
| Full Name | Dr Michael Coleman Graeber |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 971 Lakeland Dr, 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 |
|---|---|---|---|
| 1558461459 | NPI | - | NPPES |
| 0530055 | Other | UNITED HEALTH CARE | |
| 0018496 | Medicaid | MS | |
| 09014965 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 10770 (Mississippi) | Primary |
| Entity Name | St. Dominic Jackson Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Coleman Graeber, MD 971 Lakeland Dr, Suite 560, Jackson, MS 39216-4607 Ph: (601) 982-9826 | Dr Michael Coleman Graeber, MD 971 Lakeland Dr, Suite 560 Muscle And Nerve Pa, Jackson, MS 39216-4607 Ph: (601) 982-9826 |
Lamar Davis Ii, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5275 | |
Dr. Patrick E Weldon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 Phone: 601-376-2004 Fax: 601-376-2006 | |
Derek Letort, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 420, Jackson, MS 39202 Phone: 601-355-3353 Fax: 601-355-3365 | |
James Thompson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Ummc Department Of Pediatrics, Jackson, MS 39216 Phone: 601-984-5200 Fax: 601-984-2086 | |
Dr. Jahanzeb Khan, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-815-0434 | |
Dr. Kelsey Carolyn Hillhouse, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5514 | |
Justin Hardin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-1368 |