| Omkar Hemant Dave, MD | |
|
1325 E Fortification St, Jackson, MS 39202-2442 | |
| (601) 949-9106 | |
| (601) 914-1835 |
| Full Name | Omkar Hemant Dave |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 1325 E Fortification St, 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 |
|---|---|---|---|
| 1992949770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0034792 (Texas) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 23122 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Physicians' Hospital | Webster, TX | Hospital |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Hca Houston Healthcare Southeast | Pasadena, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Omkar Dave Md Pllc | 6608166905 | 5 |
| Entity Name | Omkar Dave Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134598345 PECOS PAC ID: 6608166905 Enrollment ID: O20160527000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Omkar Hemant Dave, MD 1325 E Fortification St, Jackson, MS 39202-2442 Ph: (601) 949-9106 | Omkar Hemant Dave, MD 1325 E Fortification St, Jackson, MS 39202-2442 Ph: (601) 949-9106 |
Stephen Ryan Chen, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 | |
Dr. Trevor Reed Pickering, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-960-4586 | |
Dr. Fortunato Gabriel Padua, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-351-5980 | |
Latoya Braylock, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 | |
Dr. Larry Daniel Field, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1861 | |
Dr. James William Woodall Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 | |
Kevin Francis Purcell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 |