| Jason Waller, DO | |
|
2301 S Lamar Blvd, Oxford, MS 38655-5373 | |
| (800) 291-4020 | |
| (919) 419-7247 |
| Full Name | Jason Waller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 2301 S Lamar Blvd, Oxford, 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 |
|---|---|---|---|
| 1952355653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 16730 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Emergency Services Inc. | 5799697272 | 35 |
| Entity Name | United Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040903000729 |
| Entity Name | Dobbs Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205499639 PECOS PAC ID: 2860723731 Enrollment ID: O20191007002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Waller, DO 3211 Shannon Rd, Suite 300, Durham, NC 27707-6322 Ph: (800) 291-4020 | Jason Waller, DO 2301 S Lamar Blvd, Oxford, MS 38655-5373 Ph: (800) 291-4020 |
Lane Lloyd Hartt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 800-291-4020 Fax: 919-419-7247 |
Jill Brown, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 800-291-4020 Fax: 919-419-7247 |
Dr. Michael Jeffery Magee Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-636-1000 |
Dr. Antone M Nichols, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1723 University Ave Ste B, Oxford, MS 38655 Phone: 662-290-9091 |
Thomas Glasgow, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2161 S Lamar Blvd, Oxford, MS 38655 Phone: 662-234-1791 Fax: 662-234-4790 |
Dr. Michael William Koury, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-636-1000 Fax: 662-200-5928 |
John C. Allen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 Azalea Dr Ste A, Oxford, MS 38655 Phone: 662-236-7738 Fax: 662-236-9642 |