Rowdy Chance Lee, MD is a
Orthopaedic Surgery based in Jackson, Mississippi. Rowdy Chance Lee is licensed to practice in Mississippi (license number T-4299) and his current practice location is
2500 N State St, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 984-5153.
NPI number for Rowdy Chance Lee is 1063848075 and his current mailing address is 2500 N State St, Jackson, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063848075.
Provider's Profile
| Full Name | Rowdy Chance Lee |
|---|
| Gender | Male |
|---|
| Speciality | Orthopaedic Surgery |
|---|
| Location | 2500 N State St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063848075
- Provider Enumeration Date: 09/23/2013
- Last Update Date: 07/21/2021
Medical Identifiers
Medical identifiers for Rowdy Chance Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063848075 | NPI | - | NPPES |
| 04402871 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA00186 (Mississippi) | Secondary |
| 363A00000X | Physician Assistant | PA976 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Mississippi) | Secondary |
| 207X00000X | Orthopaedic Surgery | T-4299 (Mississippi) | Primary |
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. Rowdy Chance Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rowdy Chance Lee, MD
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 984-5153 | Rowdy Chance Lee, MD
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 984-5153 |
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