7615 CLARINGTON CV
SOUTHAVEN, MS 38671-5647 US PECOS Enrolled
Overview
Mukesh Jain is a Internal Medicine Physician in the SOUTHAVEN area and has over 43 years of experience. Mukesh Jain primary office location is at 7615 CLARINGTON CV and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1981
Mukesh Jain is affiliated with five hospitals in the SOUTHAVEN area, including . The NPI number is 1447282991 and the information was updated approximately 5 years ago.
Mukesh Jain is affiliated with one medical group in the SOUTHAVEN area, BAPTIST MEMORIAL MEDICAL GROUP, INC..
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 14601 | MS |
| 25718 | TN |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 05128319 | MS |
| MEDICAID | 06326035 | MS |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | MS | Y |
| Specialist - Taxonomy Code 174400000X | MS | N |
| Specialist - Taxonomy Code 174400000X | TN | N |
| Hospitalist - Taxonomy Code 208M00000X | MS | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20120105000325 |
| PECOS Individual PAC ID: | 7214835263 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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