Dr Clyde Rozell Chapman Ii, MD is a medicare enrolled "Pediatrics" physician in Lexington, Mississippi. His current practice location is
17280 Highway 17, Lexington, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 834-1857.
Dr Clyde Rozell Chapman Ii is licensed to practice in Mississippi (license number 22207) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952630089.
Physician's Profile
Full Name | Dr Clyde Rozell Chapman Ii |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 17280 Highway 17, Lexington, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952630089
- Provider Enumeration Date: 12/20/2009
- Last Update Date: 07/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527373489
- Enrollment ID: I20160113000248
Medical Identifiers
Medical identifiers for Dr Clyde Rozell Chapman Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952630089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036.124688 (Illinois) | Secondary |
208000000X | Pediatrics | 22207 (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. Dr Clyde Rozell Chapman Ii allows following entities to bill medicare on his behalf.
Entity Name | Mallory Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740308873 PECOS PAC ID: 9739074501 Enrollment ID: O20040219000709 |
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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. Dr Clyde Rozell Chapman Ii 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 |
Dr Clyde Rozell Chapman Ii, MD 3648 Jones Loop, Terry, MS 39170-9248 Ph: (601) 462-3532 | Dr Clyde Rozell Chapman Ii, MD 17280 Highway 17, Lexington, MS 39095-6614 Ph: (662) 834-1857 |
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