Mississippi Burn, Hand And Reconstruction Centers Pc
Specialist
1225 N State St Ste 103, Jackson
Mississippi, 39202-2064
833-672-8767 800-967-9562
Mississippi Burn, Hand And Reconstruction Centers Pc is a Specialist in Jackson, Mississippi. It is located at 1225 N State St Ste 103, Jackson and it's customer support contact number is 833-672-8767. The authorized person of Mississippi Burn, Hand And Reconstruction Centers Pc is Derek Culnan, MD who is Owner of this DME and his contact number is 833-672-8767. Mississippi Burn, Hand And Reconstruction Centers Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mississippi Burn, Hand And Reconstruction Centers Pc is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
DME Supplier Details:
Mississippi Burn, Hand And Reconstruction Centers Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mississippi Burn, Hand And Reconstruction Centers Pc |
| Type: | Specialist |
| Location: | 1225 N State St Ste 103, Jackson,
Mississippi, 39202-2064 |
| Phone: | 833-672-8767 |
| Fax: | 800-967-9562 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Derek Culnan |
| Credentials: | MD |
| Position: | Owner |
| Contact Number: | 833-672-8767 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1699484816 |
| NPI Enumeration Date: | 16 Nov, 2022 |
| NPI Last Update On: | 14 Apr, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mississippi Burn, Hand And Reconstruction Centers Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialist | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Mississippi Burn, Hand And Reconstruction Centers Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2163891268 | O20221213000536 | Mississippi Burn Hand And Reconstruction Centers Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 2163891268 | O20250217000017 | Mississippi Burn Hand And Reconstruction Centers Pc | DME SUPPLIER - PHYSICIAN - GENERAL SURGERY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 2204,
Madison, Mississippi |
| Zip: | 39130-2204 |
| Phone Number: | -- |
Patients can reach Mississippi Burn, Hand And Reconstruction Centers Pc at
1225 N State St Ste 103, Jackson, Mississippi or can
call on customer care at 833-672-8767.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.