James Wynn Sr, MD in Jackson, MS - Medicare Vascular Surgery

James Wynn Sr, MD is a medicare enrolled "Transplant Surgery" physician in Jackson, Mississippi. He went to Medical College Of Georgia School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Au Medical Associates Inc, State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5100.

James Wynn Sr is licensed to practice in Mississippi (license number 23233) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568573228.

Contact Information

	James Wynn Sr, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-5100
	Not Available

Physician's Profile

Full Name	James Wynn Sr
Gender	Male
Speciality	Vascular Surgery
Experience	44 Years
Location	2500 N State St, 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.

Medical Education and Training:

James Wynn Sr attended and graduated from Medical College Of Georgia School Of Medicine in 1980

NPI Data:

NPI Number: 1568573228
Provider Enumeration Date: 08/31/2006
Last Update Date: 08/05/2015

Medicare PECOS Information:

PECOS PAC ID: 0345281366
Enrollment ID: I20050519000312

Medical Identifiers

Medical identifiers for James Wynn Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568573228	NPI	-	NPPES
G24126	Medicaid	SC
07888702	Medicaid	MS
000345364A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	024126 (Georgia)	Secondary
204F00000X	Transplant Surgery	24126 (Georgia)	Secondary
208600000X	Surgery	24126 (Georgia)	Secondary
204F00000X	Transplant Surgery	23233 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Au Medical Center	Augusta, GA	Hospital
University Of Mississippi Med Center	Jackson, MS	Hospital
Merit Health Madison	Canton, MS	Hospital
University Of Mississippi Medical Center- Grenada	Grenada, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Au Medical Associates Inc	9931013513	577
State Of Mississippi - University Of Mississippi Medical Center	1850293036	804

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Wynn Sr allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

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Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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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. James Wynn Sr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
James Wynn Sr, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-3135	James Wynn Sr, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5100

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James Wynn Sr, MD - Medicare Vascular Surgery in Jackson, MS

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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