Katelyn Rossow, MD in Jackson, MS

Katelyn Rossow, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (502) 588-0850.

Katelyn Rossow is licensed to practice in Kentucky (license number 55729) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790102788.

Contact Information

	Katelyn Rossow, MD
	2500 N State St, Jackson, MS 39216-4500
	(502) 588-0850
	Not Available

Map and Direction

Physician's Profile

Full Name	Katelyn Rossow
Gender	Female
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790102788
Provider Enumeration Date: 03/27/2014
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 8022432178
Enrollment ID: I20211228000262

Medical Identifiers

Medical identifiers for Katelyn Rossow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790102788	NPI	-	NPPES
7100660090	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	55729 (Kentucky)	Secondary
208000000X	Pediatrics	01079254A (Indiana)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	01079254A (Indiana)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	56397 (Tennessee)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	55729 (Kentucky)	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. Katelyn Rossow allows following entities to bill medicare on her behalf.

Entity Name	Norton Childrens Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758

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. Katelyn Rossow 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
Katelyn Rossow, MD 2500 N State St, Jackson, MS 39216-4500 Ph: () -	Katelyn Rossow, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (502) 588-0850

Reviews and Comments

Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000
Daniel Ulises Torres Arias, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 888-815-2005
Logan Sears Havard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151

Katelyn Rossow, MD - Medicare Pediatrics in Jackson, MS