Jacob Cole Lee, PA-C - Medicare Physician Assistant in Southaven, MS

Jacob Cole Lee, PA-C is a medicare enrolled "Physician Assistant" in Southaven, Mississippi. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Campbell Clinic Pc, Campbell Clinic Pc and his current practice location is 7545 Airways Blvd, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (901) 759-3100.

Jacob Cole Lee is licensed to practice in * (Not Available) (license number ) 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 1104431485.

Contact Information

Jacob Cole Lee, PA-C
7545 Airways Blvd,
Southaven, MS 38671-5806
(901) 759-3100
Not Available

Map and Direction




Provider's Profile

Full NameJacob Cole Lee
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location7545 Airways Blvd, Southaven, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Cole Lee graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1104431485
  • Provider Enumeration Date: 09/13/2020
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537573266
  • Enrollment ID: I20210120002816

Medical Identifiers

Medical identifiers for Jacob Cole Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104431485NPI-NPPES
Q063672MedicaidTN
00827741MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Campbell Clinic Pc9638082076139
Campbell Clinic Pc9638082076139

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. Jacob Cole Lee 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
Jacob Cole Lee, PA-C
1400 S Germantown Rd,
Germantown, TN 38138-2205

Ph: (901) 759-3100
Jacob Cole Lee, PA-C
7545 Airways Blvd,
Southaven, MS 38671-5806

Ph: (901) 759-3100

Reviews and Comments


Physician Assistant Nurses in Southaven, MS

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Donald Wayne Washburn Iii,
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Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
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Pamela Lynn Davis, PAC
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Medicare: Medicare Enrolled
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620
Caroline Sabbatini Moreland, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 7585 Clarington Cv, Southaven, MS 38671
Phone: 662-349-0200    Fax: 662-349-1666

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.