Jerry Ladon Outlaw, CRNP in Ozark, AL - Medicare Nurse Practitioner

Jerry Ladon Outlaw, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Ozark, Alabama. He graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southland Hospitlalist At Chipley Pl and his current practice location is 145 Katherine Ave., Ozark, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 774-5116.

Jerry Ladon Outlaw is licensed to practice in Alabama (license number 1-070149) 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 1609125202.

Contact Information

	Jerry Ladon Outlaw, CRNP
	145 Katherine Ave., Ozark, AL 36360-1987
	(334) 774-5116
	(334) 774-6848

Map and Direction

Provider's Profile

Full Name	Jerry Ladon Outlaw
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	145 Katherine Ave., Ozark, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jerry Ladon Outlaw graduated from nursing school in 2012

NPI Data:

NPI Number: 1609125202
Provider Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012

Medicare PECOS Information:

PECOS PAC ID: 3072745546
Enrollment ID: I20171116001942

Medical Identifiers

Medical identifiers for Jerry Ladon Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609125202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-070149 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Florida Community Hospital	Chipley, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southland Hospitlalist At Chipley Pl	9537382494	3

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. Jerry Ladon Outlaw allows following entities to bill medicare on his behalf.

Entity Name	Southland Hospitlalist At Chipley Pl
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801213020 PECOS PAC ID: 9537382494 Enrollment ID: O20140521001371

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. Jerry Ladon Outlaw 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
Jerry Ladon Outlaw, CRNP 145 Katherine Ave., Ozark, AL 36360-1987 Ph: (334) 774-5116	Jerry Ladon Outlaw, CRNP 145 Katherine Ave., Ozark, AL 36360-1987 Ph: (334) 774-5116

Reviews and Comments

Nurse Practitioner Nurses in Ozark, AL

Benjamin L Sneed, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1519 Andrews Ave, Ozark, AL 36360 Phone: 334-793-8087 Fax: 334-793-8191
Vinson Lewis Johnson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1519 Andrews Ave, Ozark, AL 36360 Phone: 334-774-7610
Kayla Brooke Russell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 Hospital Ave Ste A, Ozark, AL 36360 Phone: 334-774-1982
Zara Kaitlin Benefield, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 S Union Ave, Ozark, AL 36360 Phone: 334-774-7572 Fax: 334-774-6237
Mrs. Kamesha Dees Moultry, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 Andrews Ave, Ozark, AL 36360 Phone: 334-774-1555
Joterian C Flowers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 532 W Roy Parker Rd, Ozark, AL 36360 Phone: 334-774-5146 Fax: 334-774-2333

Jerry Ladon Outlaw, CRNP - Medicare Nurse Practitioner in Ozark, AL