Dr Kenneth Staggs Jr, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Meridian, Mississippi. His current practice location is
1001 14th St, Meridian, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 482-9224.
Dr Kenneth Staggs Jr is licensed to practice in Mississippi (license number 14732) 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 1043204654.
Physician's Profile
Full Name | Dr Kenneth Staggs Jr |
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Gender | Male |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 1001 14th St, Meridian, 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: 1043204654
- Provider Enumeration Date: 09/09/2005
- Last Update Date: 01/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890799308
- Enrollment ID: I20101108000429
Medical Identifiers
Medical identifiers for Dr Kenneth Staggs Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043204654 | NPI | - | NPPES |
00116542 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 14732 (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 Kenneth Staggs Jr allows following entities to bill medicare on his behalf.
Entity Name | Southern Pain Associates, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093709958 PECOS PAC ID: 1456328210 Enrollment ID: O20040913000574 |
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Entity Name | Mississippi Pain Physicians, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548254493 PECOS PAC ID: 6002872140 Enrollment ID: O20041209000577 |
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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 Kenneth Staggs Jr 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 Kenneth Staggs Jr, MD 1001 14th St, Meridian, MS 39301-4458 Ph: (601) 482-9224 | Dr Kenneth Staggs Jr, MD 1001 14th St, Meridian, MS 39301-4458 Ph: (601) 482-9224 |
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