| Jennifer R Dinning, MD | |
|
970 Lakeland Dr Ste 43, Jackson, MS 39216-4634 | |
| (601) 200-2990 | |
| (601) 200-5939 |
| Full Name | Jennifer R Dinning |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 15 Years |
| Location | 970 Lakeland Dr Ste 43, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699062208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | T-2426 (Mississippi) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 24720 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmol Health I St Dominic | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Dominic Medical Associates Llc | 0446303168 | 130 |
| St. Dominic Jackson Memorial | 4385531847 | 56 |
| Entity Name | St. Dominic Jackson Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818 |
| Entity Name | St. Dominic Medical Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer R Dinning, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-6060 | Jennifer R Dinning, MD 970 Lakeland Dr Ste 43, Jackson, MS 39216-4634 Ph: (601) 200-2990 |
Sara Graycen Wiltshire, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 662-466-3674 |
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 |
Felicia Sedwick, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-1292 |
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 |
Pierre Edouard De Delva, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 220, Jackson, MS 39216 Phone: 601-200-2780 |
Dr. John Magruder Sullivan Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |
Jeffrey H Glover, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-6060 Fax: 601-200-6767 |