Lara J Teal Clement, MD in Jackson, MS - Medicare Family Medicine

Lara J Teal Clement, MD is a medicare enrolled "Family Medicine" physician in Jackson, Mississippi. Her current practice location is Magnolia Senior Care, 3701 Peter Quinn Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 206-0901.

Lara J Teal Clement is licensed to practice in Mississippi (license number 16858) 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 1912933672.

Contact Information

	Lara J Teal Clement, MD
	Magnolia Senior Care, 3701 Peter Quinn Dr, Jackson, MS 39213
	(601) 206-0901
	(888) 240-6288

Map and Direction

Physician's Profile

Full Name	Lara J Teal Clement
Gender	Female
Speciality	Family Medicine
Location	Magnolia Senior Care, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912933672
Provider Enumeration Date: 06/24/2006
Last Update Date: 05/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9032198858
Enrollment ID: I20040715000949

Medical Identifiers

Medical identifiers for Lara J Teal Clement such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912933672	NPI	-	NPPES
00122664	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	16858 (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. Lara J Teal Clement allows following entities to bill medicare on her behalf.

Entity Name	Centerwell Senior Primary Care Ms Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841902830 PECOS PAC ID: 0143694190 Enrollment ID: O20230315000489

Entity Name	Lara Clement Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902501083 PECOS PAC ID: 3173998531 Enrollment ID: O20230417002498

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. Lara J Teal Clement 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
Lara J Teal Clement, MD 200 Amity Ln, Brandon, MS 39047-7941 Ph: (601) 206-0901	Lara J Teal Clement, MD Magnolia Senior Care, 3701 Peter Quinn Dr, Jackson, MS 39213 Ph: (601) 206-0901

Reviews and Comments

Family Medicine Doctors in Jackson, MS

Dr. Tesia Shani Hall-hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204 Phone: 601-914-0163 Fax: 601-914-0170
Mrs. Christian Fortenberry, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560
Dr. Marcia L Howard, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216 Phone: 601-984-5426 Fax: 601-984-6889
Stephen Paul Epperson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-5241
Deborah O'bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-4778 Fax: 601-984-5420
Dr. Cassandra Faye Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-981-7198 Fax: 601-981-6616
Mrs. Sydney Mccary Ponder, Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488

Lara J Teal Clement, MD - Medicare Family Medicine in Jackson, MS