Dr Connor Daniel Ludovissy, DO - Medicare Emergency Medicine in Jackson, TN

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Dr Connor Daniel Ludovissy, DO is a medicare enrolled "Family Medicine" physician in Jackson, Tennessee. He went to University Of Pikeville, Kentucky College Of Osteopathic Med and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc, Empact Midwest Llc and his current practice location is 620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-5000.

Dr Connor Daniel Ludovissy is licensed to practice in Tennessee (license number 4298) 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 1427540566.

Contact Information

Dr Connor Daniel Ludovissy, DO
620 Skyline Dr,
Jackson, TN 38301-3923
(731) 541-5000
(731) 660-8739

Map and Direction




Physician's Profile

Full NameDr Connor Daniel Ludovissy
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location620 Skyline Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Connor Daniel Ludovissy attended and graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2018
  NPI Data:
  • NPI Number: 1427540566
  • Provider Enumeration Date: 06/05/2018
  • Last Update Date: 08/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476985383
  • Enrollment ID: I20220908003551

Medical Identifiers

Medical identifiers for Dr Connor Daniel Ludovissy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427540566NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine TP989 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 4298 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Georgetown Community HospitalGeorgetown, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516
Empact Midwest Llc943657751731

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 Connor Daniel Ludovissy allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameClark Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346781499
PECOS PAC ID: 2961770268
Enrollment ID: O20170609000089
Entity NameEmpact Midwest Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841801784
PECOS PAC ID: 9436577517
Enrollment ID: O20200922002897

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 Connor Daniel Ludovissy 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 AddressPractice Location Address
Dr Connor Daniel Ludovissy, DO
620 Skyline Dr,
Jackson, TN 38301-3923

Ph: () -		Dr Connor Daniel Ludovissy, DO
620 Skyline Dr,
Jackson, TN 38301-3923

Ph: (731) 541-5000

Reviews and Comments


Family Medicine Doctors in Jackson, TN

Parker Panovec, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2859 Highway 45 Byp, Jackson, TN 38305
Phone: 731-660-8360    Fax: 731-664-7928
Michael James Martin, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-410-0367
Melissa A Robbins, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 294 Summar Drive, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-423-4919
Dr. Ezekiel Oladejo Adetunji, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 150 Murray Guard Dr, Jackson, TN 38305
Phone: 731-300-3168    Fax: 731-300-3169
Kenneth R. Warren, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305
Phone: 731-664-0103    Fax: 731-664-5666
Anna Elizabeth Glass Burgess, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-664-1375    Fax: 731-664-1378
Christopher Reyes Caangay, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-541-3755    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.