Hannah Roberts Badon, is a medicare enrolled "Dermatology" physician in Petal, Mississippi. Her current practice location is
50 Parkway Ln Ste 250, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 544-0769.
Hannah Roberts Badon is licensed to practice in Mississippi (license number 33581) 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 1215556048.
Physician's Profile
Full Name | Hannah Roberts Badon |
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Gender | Female |
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Speciality | Dermatology |
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Location | 50 Parkway Ln Ste 250, Petal, 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: 1215556048
- Provider Enumeration Date: 04/12/2020
- Last Update Date: 08/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678019106
- Enrollment ID: I20240722000095
Medical Identifiers
Medical identifiers for Hannah Roberts Badon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215556048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | T-4028 (Mississippi) | Secondary |
207N00000X | Dermatology | 33581 (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. Hannah Roberts Badon allows following entities to bill medicare on her behalf.
Entity Name | Hattiesburg Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
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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. Hannah Roberts Badon 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 |
Hannah Roberts Badon, 2450 Wild Valley Dr, Jackson, MS 39211-6224 Ph: (601) 517-5401 | Hannah Roberts Badon, 50 Parkway Ln Ste 250, Petal, MS 39465-3035 Ph: (601) 544-0769 |
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