Dr John Magruder Sullivan Iii, MD - Surgery in Jackson, MS

Dr John Magruder Sullivan Iii, MD is a Surgery - Plastic And Reconstructive Surgery physician based in Jackson, Mississippi. Dr John Magruder Sullivan Iii is licensed to practice in Mississippi (license number T-3879) and his current practice location is 2500 N State St, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 984-1000.

NPI number for Dr John Magruder Sullivan Iii is 1043872948 and his current mailing address is 37 Enclave Cir, Ridgeland, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043872948.

Contact Information

Dr John Magruder Sullivan Iii, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 984-1000
Not Available



Physician's Profile

Full NameDr John Magruder Sullivan Iii
GenderMale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043872948
  • Provider Enumeration Date: 07/01/2019
  • Last Update Date: 07/01/2019

Medical Identifiers

Medical identifiers for Dr John Magruder Sullivan Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043872948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery T-3879 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Magruder Sullivan Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Magruder Sullivan Iii, MD
37 Enclave Cir,
Ridgeland, MS 39157-4522

Ph: (601) 953-3304
Dr John Magruder Sullivan Iii, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-1000

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Surgery Doctors in Jackson, MS

Dr. Wayne Shannon Orr Iii, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5452    Fax: 601-815-3322
Jacob M Folse, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5153    Fax: 601-984-6962
Robert Eugene Schmieg Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    Fax: 601-926-4978
Dr. Hal Gregory Fiser, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202
Phone: 601-944-1781    Fax: 601-353-0439
Pierre Edouard De Delva, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, University Of Mississippi Medical Center, Jackson, MS 39216
Phone: 601-984-5170    
Colton Lott,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-1292    Fax: 601-984-5110

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