Mrs Molly Jo Mackenzie Mccleskey Douglas, in Ridgeland, MS - Medicare Speech-Language Pathologist Provider

Mrs Molly Jo Mackenzie Mccleskey Douglas, is a medicare enrolled "Speech-language Pathologist" provider in Ridgeland, Mississippi. Her current practice location is 207 W Jackson St, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 362-0859.

Mrs Molly Jo Mackenzie Mccleskey Douglas is licensed to practice in Mississippi (license number S4759) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689279895.

Contact Information

	Mrs Molly Jo Mackenzie Mccleskey Douglas,
	207 W Jackson St, Ridgeland, MS 39157-2355
	(601) 362-0859
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Molly Jo Mackenzie Mccleskey Douglas
Gender	Female
Speciality	Speech-language Pathologist
Location	207 W Jackson St, Ridgeland, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689279895
Provider Enumeration Date: 12/03/2020
Last Update Date: 12/03/2020

Medicare PECOS Information:

PECOS PAC ID: 2365970423
Enrollment ID: I20250116003413

Medical Identifiers

Medical identifiers for Mrs Molly Jo Mackenzie Mccleskey Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689279895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	S4759 (Mississippi)	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. Mrs Molly Jo Mackenzie Mccleskey Douglas allows following entities to bill medicare on her behalf.

Provider Name	State Of Mississippi - University Of Mississippi Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Mrs Molly Jo Mackenzie Mccleskey Douglas 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
Mrs Molly Jo Mackenzie Mccleskey Douglas, 209 Fletchers Chapel Rd, Bentonia, MS 39040-9054 Ph: () -	Mrs Molly Jo Mackenzie Mccleskey Douglas, 207 W Jackson St, Ridgeland, MS 39157-2355 Ph: (601) 362-0859

Reviews and Comments

Speech-Language Pathologist in Ridgeland, MS

Lori K Windle, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1415
Caitlin N Hajje, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761
Kaylan Elliott, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 115 W Jackson St Ste 1d, Ridgeland, MS 39157 Phone: 601-853-9747
Abigail Griffin Scott, M.S. CFY-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 207 W Jackson St, Ridgeland, MS 39157 Phone: 601-362-0859
Jessica C Jefcoat, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1553
Amber Green, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 115 W Jackson St Ste 1d, Ridgeland, MS 39157 Phone: 601-853-9747
Mrs. Joyce Lyle Massingill, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869

Mrs Molly Jo Mackenzie Mccleskey Douglas, - Medicare Speech-Language Pathologist in Ridgeland, MS