| Jeremy D Smitherman, MD | |
|
401 Baptist Dr Ste 301a, Madison, MS 39110-2012 | |
| (601) 891-5524 | |
| Not Available |
| Full Name | Jeremy D Smitherman |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 18 Years |
| Location | 401 Baptist Dr Ste 301a, Madison, 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 |
|---|---|---|---|
| 1457507055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | T2111 (Mississippi) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 21996 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Mississippi Methodist Rehab Ctr | Jackson, MS | Hospital |
| S E Lackey Memorial Hospital | Forest, MS | Hospital |
| Fmol Health I St Dominic | Jackson, MS | Hospital |
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Methodist Hospital And Rehabilitation Center, Inc. | 8921912270 | 13 |
| Kdmc Physician Clinics Llc | 7012154495 | 31 |
| Independent Healthcare Management Inc | 0840197232 | 32 |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
| Entity Name | Mississippi Sports Medicine & Orthopaedic Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415560 PECOS PAC ID: 4981685310 Enrollment ID: O20040601000238 |
| Entity Name | Mississippi Methodist Hospital & Rehabilitation Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1790711273 PECOS PAC ID: 8921912270 Enrollment ID: O20051005001042 |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20120111000488 |
| Entity Name | Kdmc Physician Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861739161 PECOS PAC ID: 7012154495 Enrollment ID: O20130501000541 |
| Entity Name | Specialty Orthopedic Group of Mississippi PLLC. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639553506 PECOS PAC ID: 3577878883 Enrollment ID: O20150817000322 |
| Entity Name | Southern Interventional Pain Specialists Jackson, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750250577 PECOS PAC ID: 1254826167 Enrollment ID: O20251218001477 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy D Smitherman, MD 133 Calumet Dr, Madison, MS 39110-9298 Ph: (601) 720-0205 | Jeremy D Smitherman, MD 401 Baptist Dr Ste 301a, Madison, MS 39110-2012 Ph: (601) 891-5524 |
Madelyn Kelly Craig, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 Herons Bay Cir, Madison, MS 39110 Phone: 706-594-0636 |
Leonel Kevin Vance, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 Fountains Blvd, Ste 201, Madison, MS 39110 Phone: 769-300-0730 Fax: 769-300-0734 |