Jennifer C Shores, MD - Medicare Pediatric Medicine in Jackson, MS

Jennifer C Shores, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Jackson, Mississippi. She went to Johns Hopkins University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5250.

Jennifer C Shores is licensed to practice in Mississippi (license number 17022) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568493450.

Contact Information

Jennifer C Shores, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 984-5250
(601) 984-5283

Map and Direction




Physician's Profile

Full NameJennifer C Shores
GenderFemale
SpecialityPediatric Medicine
Experience31 Years
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer C Shores attended and graduated from Johns Hopkins University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1568493450
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 04/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466542683
  • Enrollment ID: I20071212000136

Medical Identifiers

Medical identifiers for Jennifer C Shores such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568493450NPI-NPPES
0123172MedicaidMS
158189MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 17022 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036782

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. Jennifer C Shores allows following entities to bill medicare on her behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396

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. Jennifer C Shores 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
Jennifer C Shores, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5250
Jennifer C Shores, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5250

Reviews and Comments


Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD
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Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5260    Fax: 601-984-2652
Kavipriya Komeswaran,
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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.
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Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-4520    Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D.
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Medicare: Medicare Enrolled
Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216
Phone: 601-984-1000    
Logan Sears Havard, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Dr. Eva Mae Henderson, M.D.
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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.
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Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5249    

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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.

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