Janice E Bacon (NPI# 1750438446, PAC ID# 9032306709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1750438446 |
| PAC ID by PECOS | 9032306709 |
| Professional Enrollment ID | I20101209000936 |
| Full Name | Janice E Bacon |
| Organization Legal Name | CENTRAL MISSISSIPPI HEALTH SERVICES, INC. |
| Address |
500 County Line Rd W Tougaloo MS 39174-9700 |
| Phone Number | 6019576776 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2961398029 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 500 County Line Rd W, Tougaloo, MS 39174-9700 | 6019576776 | CENTRAL MISSISSIPPI HEALTH SERVICES, INC. |
| Organization Legal Name | CENTRAL MISSISSIPPI HEALTH SERVICES, INC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Montoyae Leavy | Nurse Practitioner | Central Mississippi Health Services, Inc. | 1134 Winter St, Jackson, MS 39204-2899 |
| Edith F Smith Rayford | Obstetrics/gynecology | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Robert Smith | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Shaquita Denise Shaw | Nurse Practitioner | Central Mississippi Health Services, Inc. | 1134 Winter St, Jackson, MS 39204-2899 |
| Tamara C Winfield | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Edgar Miller | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Trevalla Kaye Lindsey | Nurse Practitioner | Central Mississippi Health Services, Inc. | 1134 Winter St, Jackson, MS 39204-2899 |
| Eurekia D Samuel | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Obie M Mcnair | Internal Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Myra A Wheaton | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Street Address |
500 COUNTY LINE RD W |
| City | TOUGALOO |
| State | MS |
| Zip | 39174-9700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morlyn Russell | Nurse Practitioner | Central Mississippi Health Services, Inc. | 500 County Line Rd W, Tougaloo, MS 39174-9700 |
| City | TOUGALOO |
| Zip Code | 39174 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | TOUGALOO + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Janice E Bacon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.