| Dr Patrick H Scanlon Jr, MD | |
|
971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | |
| (601) 982-3202 | |
| (601) 982-3259 |
| Full Name | Dr Patrick H Scanlon Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 971 Lakeland Dr Ste 1460, 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 |
|---|---|---|---|
| 1356440234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 16216 (Mississippi) | Primary |
| 174400000X | Specialist | 16216 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid Delta Home Health Agency | Belzoni, MS | Home health agency |
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Sta Home Health And Hospice | Carthage, MS | Home health agency |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Merit Health River Oaks | Flowood, MS | Hospital |
| Merit Health Women's Hospital | Flowood, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Surgical Clinic Pllc | 9335221464 | 15 |
| Entity Name | Lakeland Surgical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649499740 PECOS PAC ID: 9335221464 Enrollment ID: O20080129000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick H Scanlon Jr, MD 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 Ph: (601) 982-3202 | Dr Patrick H Scanlon Jr, MD 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 Ph: (601) 982-3202 |
Dr. Wayne Shannon Orr Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5452 Fax: 601-815-3322 | |
Jacob M Folse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 Fax: 601-984-6962 | |
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 | |
Dr. John Magruder Sullivan Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
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 |