Dr Jessica Audrey Lotridge, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Keesler Afb, Mississippi. Her current practice location is
301 Fisher St, Keesler Afb, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(228) 376-2273.
Dr Jessica Audrey Lotridge is licensed to practice in Indiana (license number 01064202A) 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 1578743217.
Physician's Profile
Full Name | Dr Jessica Audrey Lotridge |
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Gender | Female |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 301 Fisher St, Keesler Afb, 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: 1578743217
- Provider Enumeration Date: 11/09/2007
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951607902
- Enrollment ID: I20160317000417
Medical Identifiers
Medical identifiers for Dr Jessica Audrey Lotridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578743217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01064202A (Indiana) | Secondary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 01064202A (Indiana) | 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. Dr Jessica Audrey Lotridge 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 Jessica Audrey Lotridge, MD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: () - | Dr Jessica Audrey Lotridge, MD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-2273 |
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