Lucette Liddell, MD in Jackson, MS - Medicare Dermatology

Lucette Liddell, MD is a medicare enrolled "Dermatology" 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 (601) 984-1000.

Lucette Liddell is licensed to practice in Mississippi (license number T-4844) 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 1275982811.

Contact Information

	Lucette Liddell, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Lucette Liddell
Gender	Female
Speciality	Dermatology
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: 1275982811
Provider Enumeration Date: 06/05/2016
Last Update Date: 06/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4880982305
Enrollment ID: I20250102000100

Medical Identifiers

Medical identifiers for Lucette Liddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275982811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	T-4844 (Mississippi)	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. Lucette Liddell allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi-university Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Lucette Liddell 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
Lucette Liddell, MD 2500 N State St, Jackson, MS 39216-4500 Ph: () -	Lucette Liddell, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000

Reviews and Comments

Dermatology Doctors in Jackson, MS

Julie P Wyatt, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3000 Old Canton Rd Ste 430, Jackson, MS 39216 Phone: 601-982-5441 Fax: 601-982-5442
Kimberley Helen Morine Ward, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000
John Mark Albrecht, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. Joseph H Robinson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1278
Dr. Colleen Powers, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5604
Dr. Ashton Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000

Lucette Liddell, MD - Medicare Dermatology in Jackson, MS