Jessica Anne Lauderdale, DO - Medicare Family Practice in Pontotoc, MS

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Jessica Anne Lauderdale, DO is a medicare enrolled "Family Medicine" physician in Pontotoc, Mississippi. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Choctaw Regional Medical Center and her current practice location is 11 E Jefferson St, Pontotoc, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 489-6041.

Jessica Anne Lauderdale is licensed to practice in Mississippi (license number 23832) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093095523.

Contact Information

Jessica Anne Lauderdale, DO
11 E Jefferson St,
Pontotoc, MS 38863-2807
(662) 489-6041
Not Available

Map and Direction




Physician's Profile

Full NameJessica Anne Lauderdale
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location11 E Jefferson St, Pontotoc, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Anne Lauderdale graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1093095523
  • Provider Enumeration Date: 08/29/2011
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082901228
  • Enrollment ID: I20170111000566

Medical Identifiers

Medical identifiers for Jessica Anne Lauderdale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093095523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice L2069591 (Michigan)Secondary
207Q00000XFamily Medicine 23832 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Choctaw Regional Medical CenterAckerman, MSHospital
Pontotoc Health Service Inc CahPontotoc, MSHospital

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. Jessica Anne Lauderdale allows following entities to bill medicare on her behalf.
Entity NamePioneer Health Services Of Monroe County, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083658595
PECOS PAC ID: 6305827478
Enrollment ID: O20040525001333
Entity NameHospital Medicine Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093758781
PECOS PAC ID: 9234156985
Enrollment ID: O20080804000178
Entity NameChoctaw Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235547878
PECOS PAC ID: 2567682206
Enrollment ID: O20141215002502
Entity NameBoa Vida Hospital Of Aberdeen Ms Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710405741
PECOS PAC ID: 0244505840
Enrollment ID: O20171128003460
Entity NameLauderdale Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689456527
PECOS PAC ID: 2365890175
Enrollment ID: O20231204002265

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. Jessica Anne Lauderdale 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
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

Reviews and Comments


Family Medicine Doctors in Pontotoc, MS

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

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.