Callissa G Ladner, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Laurel, Mississippi. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Consultants Of South Mississippi Pa and her current practice location is
1706 W 12th St, Laurel, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 369-2028.
Callissa G Ladner is licensed to practice in Mississippi (license number 903129) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1144786229.
Physician's Profile
Full Name | Callissa G Ladner |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 1706 W 12th St, Laurel, Mississippi |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Callissa G Ladner graduated from medical school in 2018
NPI Data:
- NPI Number: 1144786229
- Provider Enumeration Date: 02/14/2019
- Last Update Date: 08/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850624511
- Enrollment ID: I20190612000177
Medical Identifiers
Medical identifiers for Callissa G Ladner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144786229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 903129 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 903129 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pain Consultants Of South Mississippi Pa | 8628015369 | 2 |
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. Callissa G Ladner allows following entities to bill medicare on her behalf.
Entity Name | Pain Consultants Of South Mississippi Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619920584 PECOS PAC ID: 8628015369 Enrollment ID: O20050413001026 |
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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. Callissa G Ladner 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 |
Callissa G Ladner, NP-C 1706 W 12th St, Laurel, MS 39440-2559 Ph: (601) 369-2028 | Callissa G Ladner, NP-C 1706 W 12th St, Laurel, MS 39440-2559 Ph: (601) 369-2028 |
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