| Jackson Walters, MD | |
|
670 Leigh Dr, Columbus, MS 39705-3014 | |
| (662) 328-1012 | |
| (662) 328-1507 |
| Full Name | Jackson Walters |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 670 Leigh Dr, Columbus, 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 |
|---|---|---|---|
| 1124274733 | NPI | - | NPPES |
| 07800068 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 22184 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Eupora | Eupora, MS | Home health agency |
| Baptist Memorial Hospital-oktibbeha County | Starkville, MS | Hospital |
| Bmh-golden Triangle | Columbus, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Columbus Orthopaedic Clinic, P.a. | 5890751945 | 52 |
| Entity Name | The Columbus Orthopaedic Clinic, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740287374 PECOS PAC ID: 5890751945 Enrollment ID: O20110331000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Walters, MD 670 Leigh Dr, Columbus, MS 39705-3014 Ph: (662) 328-1012 | Jackson Walters, MD 670 Leigh Dr, Columbus, MS 39705-3014 Ph: (662) 328-1012 |
Dr. Danett Maples, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 |
Dr. John T. Mcreynolds, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 640 Leigh Dr, Columbus, MS 39705 Phone: 334-386-2053 Fax: 334-244-1830 |