Analise Douglas, MD in Jackson, MS - Medicare Internal Medicine

Analise Douglas, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Jackson, Mississippi. Her current practice location is 970 Lakeland Dr Ste 61, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 982-7850.

Analise Douglas is licensed to practice in Mississippi (license number 33261) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396279451.

Contact Information

	Analise Douglas, MD
	970 Lakeland Dr Ste 61, Jackson, MS 39216-4634
	(601) 982-7850
	Not Available

Map and Direction

Physician's Profile

Full Name	Analise Douglas
Gender	Female
Speciality	Internal Medicine - Interventional Cardiology
Location	970 Lakeland Dr Ste 61, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396279451
Provider Enumeration Date: 04/16/2017
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 8426438839
Enrollment ID: I20240626001101

Medical Identifiers

Medical identifiers for Analise Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396279451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	70752 (Connecticut)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	33261 (Mississippi)	Primary

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. Analise Douglas allows following entities to bill medicare on her behalf.

Entity Name	St. Dominic Jackson Memorial
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818

Entity Name	Jackson Heart Clinic. P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659318558 PECOS PAC ID: 0547204091 Enrollment ID: O20050615000346

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. Analise Douglas 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
Analise Douglas, MD 970 Lakeland Dr Ste 61, Jackson, MS 39216-4634 Ph: (601) 982-7850	Analise Douglas, MD 970 Lakeland Dr Ste 61, Jackson, MS 39216-4634 Ph: (601) 982-7850

Reviews and Comments

Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415
Jewelian Akbar Baig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645
Jo P Deal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441
Samuel Hammond Love, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 49, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838
Meghan Alford Luter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532
Dr. Taylor Brooke Winstead, MD, PHARMD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000

Analise Douglas, MD - Medicare Internal Medicine in Jackson, MS