Lauren Ackerman, PA is a medicare enrolled "Physician Assistant" physician in Hattiesburg, Mississippi. Her current practice location is
102 E Hospital Dr, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 475-9968.
Lauren Ackerman is licensed to practice in Mississippi (license number PA00812) 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 1598501504.
Physician's Profile
Full Name | Lauren Ackerman |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 102 E Hospital Dr, Hattiesburg, 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: 1598501504
- Provider Enumeration Date: 07/08/2024
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769919174
- Enrollment ID: I20241226000569
Medical Identifiers
Medical identifiers for Lauren Ackerman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598501504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | PA00812 (Mississippi) | Secondary |
363A00000X | Physician Assistant | PA00812 (Mississippi) | Primary |
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. Lauren Ackerman 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 |
Lauren Ackerman, PA 111 S 23rd Ave Apt 14, Hattiesburg, MS 39401-6015 Ph: (985) 515-0844 | Lauren Ackerman, PA 102 E Hospital Dr, Hattiesburg, MS 39402-1310 Ph: (601) 475-9968 |
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