| Caleb B Pardue, PA | |
|
120 District Blvd Apt 336, Jackson, MS 39211-6385 | |
| (615) 848-4180 | |
| Not Available |
| Full Name | Caleb B Pardue |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 120 District Blvd Apt 336, 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 |
|---|---|---|---|
| 1427867456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmol Health I St Dominic | Jackson, MS | Hospital |
| Merit Health River Oaks | Flowood, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Orthopaedic Clinic, Pllc | 0941215255 | 49 |
| Entity Name | Capital Orthopaedic Clinic, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687881 PECOS PAC ID: 0941215255 Enrollment ID: O20060208000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb B Pardue, PA 120 District Blvd Apt 336, Jackson, MS 39211-6385 Ph: (615) 848-4180 | Caleb B Pardue, PA 120 District Blvd Apt 336, Jackson, MS 39211-6385 Ph: (615) 848-4180 |
Kimberly M Cook, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-1312 |
Amber Goodman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 61, Jackson, MS 39216 Phone: 601-982-7850 Fax: 601-366-8507 |
Stephanie Keith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1659 Lelia Dr, Jackson, MS 39216 Phone: 601-910-3004 Fax: 601-910-3005 |
David Andrew Porter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |
Kelsey A North, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr Ste 1460, Jackson, MS 39216 Phone: 513-708-4211 |
Mary Allison Durr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1835 |
Sarah Joanna Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7275 S Siwell Rd, Jackson, MS 39272 Phone: 601-373-7722 Fax: 601-373-7128 |