Carroll M Mcleod, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Mississippi Sports Medicine And Orthopaedic Center and his current practice location is
1325 E Fortification St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 354-4488.
Carroll M Mcleod is licensed to practice in Mississippi (license number 12138) 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 1245383033.
Physician's Profile
| Full Name | Carroll M Mcleod |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 36 Years |
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| Location | 1325 E Fortification St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carroll M Mcleod attended and graduated from University Of Mississippi School Of Medicine in 1988
NPI Data:
- NPI Number: 1245383033
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 08/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880776483
- Enrollment ID: I20110225000120
Medical Identifiers
Medical identifiers for Carroll M Mcleod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245383033 | NPI | - | NPPES |
| 00110112 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 12138 (Mississippi) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 12138 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mississippi Sports Medicine And Orthopaedic Center | 4981685310 | 64 |
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. Carroll M Mcleod allows following entities to bill medicare on his behalf.
| Entity Name | Mississippi Sports Medicine & Orthopaedic Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568415560
PECOS PAC ID: 4981685310
Enrollment ID: O20040601000238 |
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| Entity Name | Jackson Anesthesia Pain Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104166362
PECOS PAC ID: 9638314867
Enrollment ID: O20130318000280 |
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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. Carroll M Mcleod 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 |
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Carroll M Mcleod, MD
1325 E Fortification St,
Jackson, MS 39202-2442
Ph: (601) 354-4488 | Carroll M Mcleod, MD
1325 E Fortification St,
Jackson, MS 39202-2442
Ph: (601) 354-4488 |
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