| Joseph Jackson, DO | |
|
119 Robertson St, Okolona, MS 38860-1620 | |
| (662) 447-3882 | |
| (662) 447-2265 |
| Full Name | Joseph Jackson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 119 Robertson St, Okolona, 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 |
|---|---|---|---|
| 1922074806 | NPI | - | NPPES |
| 01371061 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17430 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Ctr Hha | Tupelo, MS | Home health agency |
| Kindred At Home | Columbus, MS | Home health agency |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Yalobusha General Hospital | Water valley, MS | Hospital |
| North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Medical Clinics Inc | 6103736665 | 116 |
| Entity Name | North Mississippi Medical Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Jackson, DO 119 Robertson St, Okolona, MS 38860-1620 Ph: (662) 447-3882 | Joseph Jackson, DO 119 Robertson St, Okolona, MS 38860-1620 Ph: (662) 447-3882 |
Donald Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 Robertson St, Okolona, MS 38860 Phone: 662-447-3882 Fax: 662-447-2265 |