Mr Gavin W Nowell, PA - Medicare Physician Assistant in Jackson, MS

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Mr Gavin W Nowell, PA is a medicare enrolled "Physician Assistant - Medical" in Jackson, Mississippi. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Quad Intermed Company Llc and his current practice location is 1225 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 968-1700.

Mr Gavin W Nowell 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 1194148130.

Contact Information

Mr Gavin W Nowell, PA
1225 N State St,
Jackson, MS 39202-2064
(601) 968-1700
Not Available

Map and Direction




Provider's Profile

Full NameMr Gavin W Nowell
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location1225 N State St, Jackson, 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:
  • Mr Gavin W Nowell graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1194148130
  • Provider Enumeration Date: 01/28/2014
  • Last Update Date: 01/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2567694086
  • Enrollment ID: I20140416001603

Medical Identifiers

Medical identifiers for Mr Gavin W Nowell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194148130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health Agency Of Jackson, Inc. Dba Accentcare Home Health Of JacksonClinton, MSHome health agency
Fmol Health I St DominicJackson, MSHospital
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Quad Intermed Company Llc670924595442

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. Mr Gavin W Nowell allows following entities to bill medicare on his behalf.
Entity NameMississippi Physicians LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902174832
PECOS PAC ID: 7113193855
Enrollment ID: O20111230000560
Entity NameApp of Mississippi Ed LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534
Entity NameRelias Emergency Medicine Specialists of St Dominic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235808122
PECOS PAC ID: 2466840152
Enrollment ID: O20211029000889
Entity NameQuad Intermed Company LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952099913
PECOS PAC ID: 6709245954
Enrollment ID: O20230706000437

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. Mr Gavin W Nowell 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
Mr Gavin W Nowell, PA
Po Box 16076,
Jackson, MS 39236-6076

Ph: (601) 936-6001		Mr Gavin W Nowell, PA
1225 N State St,
Jackson, MS 39202-2064

Ph: (601) 968-1700

Reviews and Comments


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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.