Jason Lee Shives, MD in Purvis, MS - Medicare Family Practice

Jason Lee Shives, MD is a medicare enrolled "Family Medicine" physician in Purvis, Mississippi. He went to Loma Linda University School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Relias Emergency Medicine Specialists Of Hattiesburg Llc, Emergency Physician Associates Of Pennsylvania Pc and his current practice location is 102 Shelby Speights Dr, Purvis, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 794-8065.

Jason Lee Shives is licensed to practice in Mississippi (license number 21360) 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 1083942338.

Contact Information

	Jason Lee Shives, MD
	102 Shelby Speights Dr, Purvis, MS 39475-4151
	(601) 794-8065
	(601) 794-5650

Map and Direction

Physician's Profile

Full Name	Jason Lee Shives
Gender	Male
Speciality	Family Practice
Experience	18 Years
Location	102 Shelby Speights Dr, Purvis, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason Lee Shives attended and graduated from Loma Linda University School Of Medicine in 2007

NPI Data:

NPI Number: 1083942338
Provider Enumeration Date: 11/25/2009
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 7810028800
Enrollment ID: I20110223000032

Medical Identifiers

Medical identifiers for Jason Lee Shives such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083942338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	ME102839 (Florida)	Secondary
207P00000X	Emergency Medicine	MD470029 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	21360 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital
Schuylkill Medical Center - South Jackson Street	Pottsville, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Relias Emergency Medicine Specialists Of Hattiesburg Llc	9032549142	35
Emergency Physician Associates Of Pennsylvania Pc	5597663252	47

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. Jason Lee Shives allows following entities to bill medicare on his behalf.

Entity Name	Keystone Medical Services Of Ms Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447

Entity Name	Relias Emergency Medicine Specialists Of Hattiesburg Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970

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. Jason Lee Shives 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
Jason Lee Shives, MD 102 Shelby Speights Dr, Purvis, MS 39475-4151 Ph: (601) 794-8065	Jason Lee Shives, MD 102 Shelby Speights Dr, Purvis, MS 39475-4151 Ph: (601) 794-8065

Reviews and Comments

Family Medicine Doctors in Purvis, MS

Christopher Ryan Rawls, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-579-5240
Michael R O'neal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650
Mrs. Angel Michelle Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5640
Stephen L Harless, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392
Robert Watson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5808 Us Highway 11, Purvis, MS 39475 Phone: 601-348-5460 Fax: 601-348-1432
John T Chmelicek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650
Mr. Bruce Grissom Jr., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650

Jason Lee Shives, MD - Medicare Family Practice in Purvis, MS