| Jon Harrison, MD | |
|
415 S 28th Ave Fl 2, Hattiesburg, MS 39401-7246 | |
| (601) 579-5010 | |
| (601) 579-5240 |
| Full Name | Jon Harrison |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 415 S 28th Ave Fl 2, Hattiesburg, 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 |
|---|---|---|---|
| 1407268386 | NPI | - | NPPES |
| 06231763 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | T-2804 (Mississippi) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 26654 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Home Care | Hattiesburg, MS | Home health agency |
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| 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 Harrison, MD 2500 N State St, General Surgery Dept., Jackson, MS 39216-4500 Ph: () - | Jon Harrison, MD 415 S 28th Ave Fl 2, Hattiesburg, MS 39401-7246 Ph: (601) 579-5010 |
Dr. William Duncan Donald Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6051 Us Hwy 49, Hattiesburg, MS 39401 Phone: 601-288-2690 Fax: 601-288-2695 | |
Ralph E Abraham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5660 Fax: 601-268-5759 | |
Petra R Schneider-redden, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3690 Fax: 601-261-3684 | |
Colton Lott, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5010 Fax: 601-579-3067 | |
Dr. Cesar R Romero, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-2690 Fax: 601-288-2695 | |
Dr. Kirk J Banquer, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-2690 Fax: 601-288-2695 | |
Rachel Kaitlin Rosado, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5660 |