| Gerald Mckinney, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-5100 | |
| Not Available |
| Full Name | Gerald Mckinney |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| 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 |
|---|---|---|---|
| 1659330926 | NPI | - | NPPES |
| 3004265000 | Medicaid | WV | |
| 64066400 | Medicaid | KY | |
| P01532540 | Other | MS | RAILROAD MEDICARE PTAN |
| 05105897 | Medicaid | MS | |
| 2418235 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 21249 (West Virginia) | 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 |
|---|---|
| Gerald Mckinney, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-1800 | Gerald Mckinney, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5100 |
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 | |
Ian Michael Brastauskas, Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
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 | |
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: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. James Randal Bridges, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |