| Mariano L Orca, MD | |
|
1860 Chadwick Dr Ste 351, Jackson, MS 39204-3472 | |
| (601) 376-1288 | |
| (601) 376-1293 |
| Full Name | Mariano L Orca |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1860 Chadwick Dr Ste 351, 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 |
|---|---|---|---|
| 1932273984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01028016A (Indiana) | Secondary |
| 208800000X | Urology | 01028016A (Indiana) | Secondary |
| 208800000X | Urology | 27198 (Mississippi) | Primary |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariano L Orca, MD Po Box 321359, Flowood, MS 39232-1359 Ph: (601) 936-1395 | Mariano L Orca, MD 1860 Chadwick Dr Ste 351, Jackson, MS 39204-3472 Ph: (601) 376-1288 |
Robert Tramel, Urology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 769-798-4747 | |
Dr. Mark Runnels, Urology Medicare: Accepting Medicare Assignments Practice Location: 1421 N State St, Ste 403, Jackson, MS 39202 Phone: 601-353-9900 Fax: 601-353-3654 | |
Dr. Michael Tyler Wood, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5101 | |
Dr. Kieran Hynes, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 301, Jackson, MS 39202 Phone: 601-353-9900 | |
Ronald D Davis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr, Suite 360, Jackson, MS 39216 Phone: 601-200-4370 Fax: 601-200-4375 | |
Joe R. Ross, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1421 N State St, Suite 403, Jackson, MS 39202 Phone: 601-353-9900 Fax: 601-353-3654 | |
Deep Asit Gandhi, MD Urology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |