| Jessica Anne Lauderdale, DO | |
|
11 E Jefferson St, Pontotoc, MS 38863-2807 | |
| (662) 489-6041 | |
| Not Available |
| Full Name | Jessica Anne Lauderdale |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 11 E Jefferson St, Pontotoc, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093095523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | L2069591 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 23832 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Ctr Hha | Tupelo, MS | Home health agency |
| Pontotoc Health Service Inc Cah | Pontotoc, MS | Hospital |
| Choctaw Regional Medical Center | Ackerman, MS | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Entity Name | Hospital Medicine Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20080804000178 |
| Entity Name | Choctaw Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235547878 PECOS PAC ID: 2567682206 Enrollment ID: O20141215002502 |
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Entity Name | Lauderdale Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689456527 PECOS PAC ID: 2365890175 Enrollment ID: O20231204002265 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Anne Lauderdale, DO 11 E Jefferson St, Pontotoc, MS 38863-2807 Ph: (662) 489-6041 | Jessica Anne Lauderdale, DO 11 E Jefferson St, Pontotoc, MS 38863-2807 Ph: (662) 489-6041 |
Steven Nicholas Dirmeyer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 Fax: 662-489-7938 | |
Timothy Frank Thompson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989 | |
Dr. Jennifer Dawn Lowery, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 | |
Mrs. Flavia H West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 183 S Main St, Pontotoc, MS 38863 Phone: 662-489-5038 Fax: 662-489-7004 | |
Stephen Montgomery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 Fax: 662-489-7938 | |
Christopher Lane Park, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 E Jefferson St, Pontotoc, MS 38863 Phone: 662-499-2802 Fax: 866-939-1560 | |
Randel Gibson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989 |