Grant Jernigan, is a medicare enrolled "Hospitalist" physician in Gulfport, Mississippi. He went to William Carey University College Of Osteopathic Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Memorial Hospital At Gulfport and his current practice location is
4500 13th St, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 575-1194.
Grant Jernigan is licensed to practice in Mississippi (license number 28346) 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 1801390877.
Physician's Profile
| Full Name | Grant Jernigan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 8 Years |
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| Location | 4500 13th St, Gulfport, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Grant Jernigan attended and graduated from William Carey University College Of Osteopathic Medicine in 2018
NPI Data:
- NPI Number: 1801390877
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759631914
- Enrollment ID: I20210804001658
Medical Identifiers
Medical identifiers for Grant Jernigan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801390877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 28346 (Mississippi) | Secondary |
| 208M00000X | Hospitalist | 28346 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Memorial Hospital At Gulfport | 2466524012 | 473 |
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. Grant Jernigan allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Hospital at Gulfport |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093142598
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396 |
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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. Grant Jernigan 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 |
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Grant Jernigan,
4500 13th St,
Gulfport, MS 39501-2515
Ph: (318) 348-4255 | Grant Jernigan,
4500 13th St,
Gulfport, MS 39501-2515
Ph: (228) 575-1194 |
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