Dr Wallace W Weatherly, MD in Jackson, MS - Medicare Orthopedic Surgery

Dr Wallace W Weatherly, MD is a medicare enrolled "Orthopaedic Surgery" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Discovery Medical Network Sweetwater Llc and his current practice location is 1801 Crane Ridge Dr, Suite C, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 981-5633.

Dr Wallace W Weatherly is licensed to practice in Mississippi (license number 11796) 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 1972558542.

Contact Information

	Dr Wallace W Weatherly, MD
	1801 Crane Ridge Dr, Suite C, Jackson, MS 39216-4902
	(601) 981-5633
	(601) 981-1844

Map and Direction

Physician's Profile

Full Name	Dr Wallace W Weatherly
Gender	Male
Speciality	Orthopedic Surgery
Experience	38 Years
Location	1801 Crane Ridge 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 Wallace W Weatherly attended and graduated from University Of Mississippi School Of Medicine in 1987

NPI Data:

NPI Number: 1972558542
Provider Enumeration Date: 05/23/2006
Last Update Date: 12/19/2017

Medicare PECOS Information:

PECOS PAC ID: 2365486511
Enrollment ID: I20200205002517

Medical Identifiers

Medical identifiers for Dr Wallace W Weatherly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972558542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	11796 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rolling Plains Memorial Hospital	Sweetwater, TX	Hospital
Mitchell County Hospital District	Colorado city, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Discovery Medical Network Sweetwater Llc	6608025176	7

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 Wallace W Weatherly allows following entities to bill medicare on his behalf.

Entity Name	Discovery Medical Network Sweetwater Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134485550 PECOS PAC ID: 6608025176 Enrollment ID: O20120927000686

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 Wallace W Weatherly 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 Wallace W Weatherly, MD 907 E Sunflower Rd, Ste 102, Cleveland, MS 38732-2830 Ph: (662) 843-8885	Dr Wallace W Weatherly, MD 1801 Crane Ridge Dr, Suite C, Jackson, MS 39216-4902 Ph: (601) 981-5633

Reviews and Comments

Orthopaedic Surgery Doctors in Jackson, MS

Stephen Ryan Chen, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525
Dr. Trevor Reed Pickering, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-960-4586
Dr. Fortunato Gabriel Padua, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-351-5980
Latoya Braylock, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525
Dr. Larry Daniel Field, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1861
Dr. James William Woodall Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488
Kevin Francis Purcell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525

Dr Wallace W Weatherly, MD - Medicare Orthopedic Surgery in Jackson, MS