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

Jerry Ladon Outlaw, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Ozark, Alabama. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 NameJerry Ladon Outlaw
GenderMale
SpecialityNurse Practitioner - Family
Location145 Katherine Ave., Ozark, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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: I20140415002272

Medical Identifiers

Medical identifiers for Jerry Ladon Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609125202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-070149 (Alabama)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. Jerry Ladon Outlaw allows following entities to bill medicare on his behalf.
Entity NameNorthern Alabama Physicians, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669618310
PECOS PAC ID: 0143379388
Enrollment ID: O20090519000375
Entity NameSouthland Medical Solutions Of Ozark, Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144545500
PECOS PAC ID: 6608907415
Enrollment ID: O20100623000165
Entity NameSouthland Hospitalist At Ozark, Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750608949
PECOS PAC ID: 2769513167
Enrollment ID: O20100629000518

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 AddressPractice 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
Zara Kaitlin Benefield,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 633 S Union Ave, Ozark, AL 36360
Phone: 334-774-7572    
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
Mrs. Margaret J. Hughes, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1519 Andrews Ave, Ozark, AL 36360
Phone: 334-774-7610    Fax: 334-774-7288
Mrs. April Michelle Tate, CRNP, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 218 Hospital Ave, Ozark, AL 36360
Phone: 334-774-1982    

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.