| Mark E Wilson, MD | |
|
971 Lakeland Dr Ste 250, Jackson, MS 39216-4620 | |
| (601) 200-5550 | |
| Not Available |
| Full Name | Mark E Wilson |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 39 Years |
| Location | 971 Lakeland Dr Ste 250, Jackson, 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 |
|---|---|---|---|
| 1184612368 | NPI | - | NPPES |
| 00118644 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15570 (Mississippi) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 15570 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Billings Clinic | Billings, MT | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Copiah County Medical Center | Hazlehurst, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Dominic Medical Associates Llc | 0446303168 | 105 |
| Gastrointestinal Associates Pa | 5294795241 | 47 |
| Billings Clinic | 6002993516 | 685 |
| Entity Name | Gastrointestinal Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093765604 PECOS PAC ID: 5294795241 Enrollment ID: O20041013001263 |
| Entity Name | St. Dominic Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Wilson, MD 2510 Lakeland Dr, Flowood, MS 39232-9513 Ph: (601) 355-1234 | Mark E Wilson, MD 971 Lakeland Dr Ste 250, Jackson, MS 39216-4620 Ph: (601) 200-5550 |
Graves Crawley Stubblefield Jr., M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844 | |
Dr. Rebecca Chick Pace, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Jewelian Akbar Baig, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645 | |
Jo P Deal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441 | |
Samuel Hammond Love, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 49, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838 | |
Meghan Alford Luter, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532 | |
Dr. Taylor Brooke Winstead, MD, PHARMD Gastroenterology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |