| Mr James R Haltom, MD | |
|
1513 Lakeland Dr, Ste 101, Jackson, MS 39216-4829 | |
| (601) 354-4836 | |
| (601) 354-2619 |
| Full Name | Mr James R Haltom |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 46 Years |
| Location | 1513 Lakeland Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710965694 | NPI | - | NPPES |
| 00114795 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 08739 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Asthma And Allergy Clinic Pa | 7416993522 | 15 |
| Entity Name | Mississippi Asthma & Allergy Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902882251 PECOS PAC ID: 7416993522 Enrollment ID: O20050629000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James R Haltom, MD 1513 Lakeland Dr, Ste 101, Jackson, MS 39216-4829 Ph: (601) 354-4836 | Mr James R Haltom, MD 1513 Lakeland Dr, Ste 101, Jackson, MS 39216-4829 Ph: (601) 354-4836 |
Mr. Daniel L Venarske, M.D Allergy & Immunology Medicare: May Accept Medicare Assignments Practice Location: 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 Phone: 601-354-4836 Fax: 601-354-2619 | |
Dr. Sheryll Angela Vincent, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 5440 Watkins Dr, Ste A, Jackson, MS 39206 Phone: 601-981-3636 Fax: 601-982-5335 | |
Dr. Claire Brabec Rosenblatt, M.D. Allergy & Immunology Medicare: May Accept Medicare Assignments Practice Location: 1513 Lakeland Dr, Suite 101, Jackson, MS 39216 Phone: 601-354-4836 Fax: 601-354-2619 | |
Joshua F Phillips, M.D. Allergy & Immunology Medicare: May Accept Medicare Assignments Practice Location: 1513 Lakeland Dr.,, Suite 101, Jackson, MS 39216 Phone: 601-354-4836 Fax: 601-354-2619 | |
Cara T Stevens, FNP Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 | |
Dexter W Walcott, M.D. Allergy & Immunology Medicare: May Accept Medicare Assignments Practice Location: 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 Phone: 601-354-4836 Fax: 601-354-2619 | |
Dr. Stephen F Kemp, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 878 Lakeland Dr, Lb-building, Jackson, MS 39216 Phone: 601-815-1078 Fax: 601-984-6994 |