| Raven Suzanne Ladner, MD | |
|
7275 S Siwell Rd, Byram, MS 39272-9767 | |
| (601) 373-7722 | |
| (601) 373-7378 |
| Full Name | Raven Suzanne Ladner |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 7275 S Siwell Rd, Byram, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740549781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23900 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Jackson | Jackson, MS | Home health agency |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Foundation Of Central Mississippi Inc | 1153216411 | 246 |
| Entity Name | Medical Foundation Of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Suzanne Ladner, MD 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: () - | Raven Suzanne Ladner, MD 7275 S Siwell Rd, Byram, MS 39272-9767 Ph: (601) 373-7722 |
Robert Argo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 S Siwell Rd, Byram, MS 39272 Phone: 601-373-1234 Fax: 601-373-1397 | |
Frank Koe, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7300 S Siwell Rd, Byram, MS 39272 Phone: 601-373-1234 Fax: 601-373-1397 | |
Dr. Scott Anderson Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7275 S Siwell Rd, Byram, MS 39272 Phone: 601-373-7722 Fax: 601-373-7378 | |
Robert Shows, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7300 S Siwell Rd, Byram, MS 39272 Phone: 601-373-1234 Fax: 601-373-1397 |