Desiree Buehler Pendergrass, MD in Jackson, MS

Desiree Buehler Pendergrass, MD is a medicare enrolled "Pediatrics" physician in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 815-8982.

Desiree Buehler Pendergrass is licensed to practice in Mississippi (license number 24712) 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 1255425989.

Contact Information

	Desiree Buehler Pendergrass, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 815-8982
	Not Available

Map and Direction

Physician's Profile

Full Name	Desiree Buehler Pendergrass
Gender	Female
Speciality	Pediatrics
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255425989
Provider Enumeration Date: 10/03/2006
Last Update Date: 02/17/2017

Medicare PECOS Information:

PECOS PAC ID: 2567464399
Enrollment ID: I20170125000421

Medical Identifiers

Medical identifiers for Desiree Buehler Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255425989	NPI	-	NPPES
05359595	Medicaid	MS
08907561	Other	TX	NM MEDICAID
8J1510	Other	TX	MEDICARE
132232307	Other	TX	TMHP
155349101	Other	TX	FIRSTCARE MEDICAID
8G6058	Other	TX	BC/BS
200101350A	Other	TX	OK MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	H4609 (Texas)	Secondary
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	H4609 (Texas)	Secondary
208000000X	Pediatrics	24712 (Mississippi)	Primary
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	24712 (Mississippi)	Secondary

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. Desiree Buehler Pendergrass allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity 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. Desiree Buehler Pendergrass 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
Desiree Buehler Pendergrass, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-8982	Desiree Buehler Pendergrass, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-8982

Reviews and Comments

Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000
Logan Sears Havard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151
Sitesh Ranen Roy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5249

Desiree Buehler Pendergrass, MD - Medicare Pediatrics in Jackson, MS