| Michael Lucas Brasel, PA-C | |
|
1777 Ellis Ave, Jackson, MS 39204-3616 | |
| (601) 371-0400 | |
| Not Available |
| Full Name | Michael Lucas Brasel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1777 Ellis Ave, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184047904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA00197 (Mississippi) | Primary |
| Entity Name | Copiah County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588667281 PECOS PAC ID: 2062583487 Enrollment ID: O20130211000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lucas Brasel, PA-C 4092 Highway 472, Hazlehurst, MS 39083-9650 Ph: (601) 894-4825 | Michael Lucas Brasel, PA-C 1777 Ellis Ave, Jackson, MS 39204-3616 Ph: (601) 371-0400 |
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 |