David Pitre, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. 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) 815-1779.
David Pitre is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215498241.
Physician's Profile
Full Name | David Pitre |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2500 N State St, Jackson, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215498241
- Provider Enumeration Date: 03/31/2019
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628308558
- Enrollment ID: I20190919001283
Medical Identifiers
Medical identifiers for David Pitre such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215498241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 339528 (Louisiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 29214 (Mississippi) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. David Pitre 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 |
David Pitre, 405 Apache Rd, Houma, LA 70360-6040 Ph: (985) 804-1490 | David Pitre, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-1779 |
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