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

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 37 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 NameDr Wallace W Weatherly
GenderMale
SpecialityOrthopedic Surgery
Experience37 Years
Location1801 Crane Ridge Dr, Jackson, Mississippi
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1972558542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 11796 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rolling Plains Memorial HospitalSweetwater, TXHospital
Mitchell County Hospital DistrictColorado city, TXHospital
Hendrick Medical CenterAbilene, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Discovery Medical Network Sweetwater Llc66080251767

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 NameDiscovery Medical Network Sweetwater Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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
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: 601-949-9106    Fax: 601-914-1835
Kevin Francis Purcell, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-6525    
Dr. Spencer Montgomery, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-6525    
Dr. E Frazier Ward, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 North State Street, Orthopaedic Surgery, Jackson, MS 39216
Phone: 601-984-6525    Fax: 601-984-5151

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.