| Jose Alfredo Sosa, PA-C | |
|
7048 Old Canton Rd Ste 2e, Ridgeland, MS 39157-1021 | |
| (601) 992-9790 | |
| (601) 992-9796 |
| Full Name | Jose Alfredo Sosa |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 7048 Old Canton Rd Ste 2e, Ridgeland, 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 |
|---|---|---|---|
| 1508881822 | NPI | - | NPPES |
| 08478237 | Medicaid | MS | |
| 347887903 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA3654 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA00039 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Medical Consultants Llc | 9830496314 | 19 |
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 956 |
| Entity Name | Vicksburg Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738 |
| Entity Name | Vicksburg Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629084058 PECOS PAC ID: 4688575129 Enrollment ID: O20040213000299 |
| 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 |
| Entity Name | State of Mississippi-university of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Mississippi Hma Hospitalists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154608883 PECOS PAC ID: 5991972077 Enrollment ID: O20120112000182 |
| Entity Name | Southern Medical Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215396577 PECOS PAC ID: 9830496314 Enrollment ID: O20160329000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Alfredo Sosa, PA-C 7048 Old Canton Rd Ste 2e, Ridgeland, MS 39157-1021 Ph: (601) 992-9790 | Jose Alfredo Sosa, PA-C 7048 Old Canton Rd Ste 2e, Ridgeland, MS 39157-1021 Ph: (601) 992-9790 |
Mary Virginia Baldwin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 258 Hidden Oaks Dr, Ridgeland, MS 39157 Phone: 601-384-0729 |
Jaycee Futral, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7048 Old Canton Rd Ste 2e, Ridgeland, MS 39157 Phone: 870-260-2267 |
Erin Rachael Brooks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 204 W Jackson St Ste B, Ridgeland, MS 39157 Phone: 601-636-7222 Fax: 601-636-0440 |
Lacey Hope Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 204 W Jackson St Ste B, Ridgeland, MS 39157 Phone: 601-707-7278 |