Dr Thomas A Rose, MD | |
969 Lakeland Drive, Jackson, MS 39216-4699 | |
(601) 200-3840 | |
(601) 200-8801 |
Full Name | Dr Thomas A Rose |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 30 Years |
Location | 969 Lakeland Drive, 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 |
---|---|---|---|
1821192204 | NPI | - | NPPES |
04352798 | Medicaid | MS | |
15528 | Other | MS | MS LICENSE |
A068681 | Other | CA | CA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 15528 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pathology Associates Of Central Mississippi, Llc | 3072835743 | 4 |
Entity Name | Pathology Associates Of Central Mississippi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215330790 PECOS PAC ID: 3072835743 Enrollment ID: O20141208001679 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas A Rose, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Dr Thomas A Rose, MD 969 Lakeland Drive, Jackson, MS 39216-4699 Ph: (601) 200-3840 |
Sawsan Faroussi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1530 Fax: 601-984-1531 | |
Kathryn B Brown, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-968-3070 Fax: 601-974-6286 | |
Jack Roy Lewin, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1530 Fax: 601-984-1531 | |
Jennifer S Schulmeier, MD Pathology Medicare: Medicare Enrolled Practice Location: 3120 Old Canton Rd, Jackson, MS 39216 Phone: 601-362-9851 Fax: 601-982-9025 | |
Dr. Alexander Vortmeyer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1530 Fax: 601-984-1531 | |
Dr. Volney E Pierce, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept Of Pathology, Jackson, MS 39216 Phone: 601-984-6426 Fax: 601-984-6439 | |
Elizabeth Rhyne Flowers, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1530 Fax: 601-984-1531 |