James L Wootton Iii, MD is a medicare enrolled "Family Medicine" physician in Fayette, Mississippi. His current practice location is
405 Main St, Fayette, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 786-3475.
James L Wootton Iii is licensed to practice in Mississippi (license number 25172) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114184249.
Physician's Profile
| Full Name | James L Wootton Iii |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 405 Main St, Fayette, 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: 1114184249
- Provider Enumeration Date: 05/16/2008
- Last Update Date: 10/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658540877
- Enrollment ID: I20170822000662
Medical Identifiers
Medical identifiers for James L Wootton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114184249 | NPI | - | NPPES |
| 05039502 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 25172 (Mississippi) | Primary |
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. James L Wootton Iii allows following entities to bill medicare on his behalf.
| Entity Name | Aaron E Henry Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003814104 PECOS PAC ID: 1153230560 Enrollment ID: O20040330001267 |
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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. James L Wootton Iii 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 |
James L Wootton Iii, MD 405 Main St, Fayette, MS 39069-5576 Ph: (601) 786-3475 | James L Wootton Iii, MD 405 Main St, Fayette, MS 39069-5576 Ph: (601) 786-3475 |
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