Lawrence Jeffrey Hubacek, MD is a medicare enrolled "Emergency Medicine" physician in Pearl, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1991 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Jackson Hb Medical Services Llc and his current practice location is
110a Airport Rd S Ste A, Pearl, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 936-2887.
Lawrence Jeffrey Hubacek is licensed to practice in Mississippi (license number 13184) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104853936.
Physician's Profile
| Full Name | Lawrence Jeffrey Hubacek |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 35 Years |
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| Location | 110a Airport Rd S Ste A, Pearl, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lawrence Jeffrey Hubacek attended and graduated from University Of Mississippi School Of Medicine in 1991
NPI Data:
- NPI Number: 1104853936
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214902816
- Enrollment ID: I20040827000553
Medical Identifiers
Medical identifiers for Lawrence Jeffrey Hubacek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104853936 | NPI | - | NPPES |
| 09014778 | Medicaid | MS | |
| 00114632 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QB0002X | Family Medicine - Obesity Medicine | 13184 (Mississippi) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | 13184 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | 13184 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jackson Hb Medical Services Llc | 6103273131 | 39 |
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. Lawrence Jeffrey Hubacek allows following entities to bill medicare on his behalf.
| Entity Name | St. Dominic Jackson Memorial |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235173691
PECOS PAC ID: 4385531847
Enrollment ID: O20040301000818 |
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| Entity Name | App Of Mississippi Ed Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534 |
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| Entity Name | Relias Emergency Medicine Specialists Of St Dominic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235808122
PECOS PAC ID: 2466840152
Enrollment ID: O20211029000889 |
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| Entity Name | Jackson Hb Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184305856
PECOS PAC ID: 6103273131
Enrollment ID: O20231113001051 |
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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. Lawrence Jeffrey Hubacek 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 |
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Lawrence Jeffrey Hubacek, MD
510 Pine Hill Pl,
Flowood, MS 39232-8994
Ph: (769) 798-2921 | Lawrence Jeffrey Hubacek, MD
110a Airport Rd S Ste A,
Pearl, MS 39208-6698
Ph: (601) 936-2887 |
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