| Jon C Jackson, MD | |
|
2500 North State Street, Jackson, MS 39216 | |
| (601) 984-6441 | |
| (601) 815-6446 |
| Full Name | Jon C Jackson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2500 North State Street, 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 |
|---|---|---|---|
| 1760669345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | T1958 (Mississippi) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 21288 (Mississippi) | Primary |
| Entity Name | Mississippi State Hospital At Whitfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336224179 PECOS PAC ID: 5294727533 Enrollment ID: O20040330000795 |
| 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 |
|---|---|
| Jon C Jackson, MD 2500 North State Street, Jackson, MS 39225 Ph: (601) 925-6805 | Jon C Jackson, MD 2500 North State Street, Jackson, MS 39216 Ph: (601) 984-6441 |
Lamar Davis Ii, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5275 | |
Dr. Patrick E Weldon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 Phone: 601-376-2004 Fax: 601-376-2006 | |
Derek Letort, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 420, Jackson, MS 39202 Phone: 601-355-3353 Fax: 601-355-3365 | |
James Thompson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Ummc Department Of Pediatrics, Jackson, MS 39216 Phone: 601-984-5200 Fax: 601-984-2086 | |
Dr. Jahanzeb Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-815-0434 | |
Dr. Kelsey Carolyn Hillhouse, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5514 | |
Justin Hardin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-1368 |