Dr Jay G Shake, MD in Jackson, MS - Medicare Thoracic Surgery

Dr Jay G Shake, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Jackson, Mississippi. He went to University Of Minnesota Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice 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.

Dr Jay G Shake is licensed to practice in Mississippi (license number 23449) 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 1215967500.

Contact Information

	Dr Jay G Shake, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-5100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jay G Shake
Gender	Male
Speciality	Thoracic Surgery
Experience	27 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:

Dr Jay G Shake attended and graduated from University Of Minnesota Medical School in 1997

NPI Data:

NPI Number: 1215967500
Provider Enumeration Date: 07/03/2006
Last Update Date: 05/12/2015

Medicare PECOS Information:

PECOS PAC ID: 6507869252
Enrollment ID: I20141126000434

Medical Identifiers

Medical identifiers for Dr Jay G Shake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215967500	NPI	-	NPPES
693630000	Medicaid	MN
02358242	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	102316 (Minnesota)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	23449 (Mississippi)	Primary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	N8723 (Texas)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	N8723 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Med Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	804

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. Dr Jay G Shake allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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 Jay G Shake 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
Dr Jay G Shake, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5171	Dr Jay G Shake, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5100

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Jackson, MS

Dr. Richard P Cochran, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 406-640-4933
Dr. Lawrence Lee Creswell, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5170 Fax: 601-984-5198
Dr. Craig Vorpe Adams, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Dr. Ali Dodge-khatami, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2500 N State St, Division Of Pediatric Cardiac Surgery, Jackson, MS 39216 Phone: 601-984-4693
Dr. Charles S O'mara, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5105 Fax: 601-815-3322
Dr. Albert Michael Koury, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Suite 100, Jackson, MS 39202 Phone: 601-969-7467 Fax: 601-948-1417
Mr. Fidel Fabian Sendra, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1860 Chadwick Dr Ste 256, Jackson, MS 39204 Phone: 601-376-1394

Dr Jay G Shake, MD - Medicare Thoracic Surgery in Jackson, MS