| Dr Raymond L Portis, MD | |
|
1200 N State St, Suite 480, Jackson, MS 39202-2000 | |
| (601) 352-2273 | |
| (601) 714-3415 |
| Full Name | Dr Raymond L Portis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 1200 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 |
|---|---|---|---|
| 1437312915 | NPI | - | NPPES |
| 00809533 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 21256 (Mississippi) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 21256 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson Pulmonary Associates, Pa | 7517934292 | 32 |
| Entity Name | Franklin County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669705612 PECOS PAC ID: 2466355243 Enrollment ID: O20040129000396 |
| Entity Name | Jackson Pulmonary Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174570584 PECOS PAC ID: 7517934292 Enrollment ID: O20040913000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raymond L Portis, MD 971 Lakeland Dr, Ste 1052, Jackson, MS 39216-4609 Ph: (601) 206-6100 | Dr Raymond L Portis, MD 1200 N State St, Suite 480, Jackson, MS 39202-2000 Ph: (601) 352-2273 |
Graves Crawley Stubblefield Jr., M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844 | |
Dr. Rebecca Chick Pace, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Jewelian Akbar Baig, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645 | |
Jo P Deal, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441 | |
Samuel Hammond Love, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 49, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838 | |
Meghan Alford Luter, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532 | |
Dr. Taylor Brooke Winstead, MD, PHARMD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |