Landall Clark Hathorn, MD in Flowood, MS - Medicare Family Practice

Landall Clark Hathorn, MD is a medicare enrolled "Family Medicine" physician in Flowood, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St. Dominic Medical Associates Llc and his current practice location is 1050 River Oaks Dr Ste 100, Flowood, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 200-4760.

Landall Clark Hathorn is licensed to practice in Mississippi (license number 18385) 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 1487755617.

Contact Information

	Landall Clark Hathorn, MD
	1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564
	(601) 200-4760
	(601) 200-4742

Map and Direction

Physician's Profile

Full Name	Landall Clark Hathorn
Gender	Male
Speciality	Family Practice
Experience	22 Years
Location	1050 River Oaks Dr Ste 100, Flowood, 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:

Landall Clark Hathorn attended and graduated from University Of Mississippi School Of Medicine in 2002

NPI Data:

NPI Number: 1487755617
Provider Enumeration Date: 09/26/2006
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9739117417
Enrollment ID: I20050803000314

Medical Identifiers

Medical identifiers for Landall Clark Hathorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487755617	NPI	-	NPPES
05408094	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	18385 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sta Home Health And Hospice	Clinton, MS	Home health agency
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Dominic Medical Associates Llc	0446303168	156

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. Landall Clark Hathorn allows following entities to bill medicare on his behalf.

Entity Name	St. Dominic Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821

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. Landall Clark Hathorn 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
Landall Clark Hathorn, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-4760	Landall Clark Hathorn, MD 1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564 Ph: (601) 200-4760

Reviews and Comments

Family Medicine Doctors in Flowood, MS

Hannah Ray, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2466 Flowood Dr, Flowood, MS 39232 Phone: 601-815-5700 Fax: 601-815-5795
Anuj Marya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 River Oaks Dr Ste 100, Flowood, MS 39232 Phone: 601-200-4760
Dr. Susan Frichter Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 151 E Metro Dr Ste 103, Flowood, MS 39232 Phone: 601-992-3288 Fax: 601-992-3188
Kimyuana Jackson Dorris, PMHNP, AGNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151
Alana Piersanti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2466 Flowood Dr, Flowood, MS 39232 Phone: 601-815-5700 Fax: 601-815-5795
Dr. Kevin Michael Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Layfair Dr, Suite 100, Flowood, MS 39232 Phone: 601-939-4008
Christopher D. Boston, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 E Layfair Dr, Flowood, MS 39232 Phone: 601-414-6520

Landall Clark Hathorn, MD - Medicare Family Practice in Flowood, MS