Dr David Roland Carroll, MD in Jackson, MS

Dr David Roland Carroll, MD is a medicare enrolled "Surgery" physician in Jackson, Mississippi. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Lakeland Surgical Clinic Pllc and his current practice location is 971 Lakeland Dr, Suite 656, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 366-6606.

Dr David Roland Carroll is licensed to practice in Mississippi (license number 16117) 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 1679562730.

Contact Information

	Dr David Roland Carroll, MD
	971 Lakeland Dr, Suite 656, Jackson, MS 39216-4643
	(601) 366-6606
	(601) 366-6647

Map and Direction

Physician's Profile

Full Name	Dr David Roland Carroll
Gender	Male
Speciality	General Surgery
Experience	33 Years
Location	971 Lakeland Dr, 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 David Roland Carroll attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1993

NPI Data:

NPI Number: 1679562730
Provider Enumeration Date: 10/20/2005
Last Update Date: 11/18/2014

Medicare PECOS Information:

PECOS PAC ID: 1052330610
Enrollment ID: I20051114000625

Medical Identifiers

Medical identifiers for Dr David Roland Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679562730	NPI	-	NPPES
00120078	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	16117 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital
Merit Health River Oaks	Flowood, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Surgical Clinic Pllc	9335221464	17

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 David Roland Carroll allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Surgical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649499740 PECOS PAC ID: 9335221464 Enrollment ID: O20080129000380

Entity Name	David R Carroll,md, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124266952 PECOS PAC ID: 0143373555 Enrollment ID: O20090803000458

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 David Roland Carroll 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 David Roland Carroll, MD 971 Lakeland Dr, Suite 656, Jackson, MS 39216-4643 Ph: (601) 366-6606	Dr David Roland Carroll, MD 971 Lakeland Dr, Suite 656, Jackson, MS 39216-4643 Ph: (601) 366-6606

Reviews and Comments

Surgery Doctors in Jackson, MS

Dr. Wayne Shannon Orr Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5452 Fax: 601-815-3322
Ian Michael Brastauskas, Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Jacob M Folse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 Fax: 601-984-6962
Robert Eugene Schmieg Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-926-4978
Dr. Hal Gregory Fiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202 Phone: 601-944-1781 Fax: 601-353-0439
Dr. John Magruder Sullivan Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. James Randal Bridges, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000

Dr David Roland Carroll, MD - Medicare General Surgery in Jackson, MS