Dr Denisse Leticia Staufert Gutierrez, MD in Jackson, MS

Dr Denisse Leticia Staufert Gutierrez, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Jackson, Mississippi. Her current practice location is 4400 Old Canton Rd Fl 3, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (888) 815-2005.

Dr Denisse Leticia Staufert Gutierrez is licensed to practice in Mississippi (license number 31016) 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 1912428590.

Contact Information

	Dr Denisse Leticia Staufert Gutierrez, MD
	4400 Old Canton Rd Fl 3, Jackson, MS 39211-5982
	(888) 815-2005
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Denisse Leticia Staufert Gutierrez
Gender	Female
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	4400 Old Canton Rd Fl 3, 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: 1912428590
Provider Enumeration Date: 07/04/2017
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6002270196
Enrollment ID: I20230907002629

Medical Identifiers

Medical identifiers for Dr Denisse Leticia Staufert Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912428590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	31016 (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 Denisse Leticia Staufert Gutierrez 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. Dr Denisse Leticia Staufert Gutierrez 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 Denisse Leticia Staufert Gutierrez, MD 504 Clinton Center Dr Ste 4300, Clinton, MS 39056-5610 Ph: (601) 984-1000	Dr Denisse Leticia Staufert Gutierrez, MD 4400 Old Canton Rd Fl 3, Jackson, MS 39211-5982 Ph: (888) 815-2005

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

Dr Denisse Leticia Staufert Gutierrez, MD - Medicare Pediatrics in Jackson, MS