Michelle Jackson Sumrall, MD in Elizabethtown, KY

Michelle Jackson Sumrall, MD is a medicare enrolled "Pediatrics" physician in Elizabethtown, Kentucky. Her current practice location is 1301 Ring Rd, Elizabethtown, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 765-2107.

Michelle Jackson Sumrall is licensed to practice in Kentucky (license number 37097) 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 1639158520.

Contact Information

	Michelle Jackson Sumrall, MD
	1301 Ring Rd, Elizabethtown, KY 42701-8968
	(270) 765-2107
	(270) 169-9642

Map and Direction

Physician's Profile

Full Name	Michelle Jackson Sumrall
Gender	Female
Speciality	Pediatrics
Location	1301 Ring Rd, Elizabethtown, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639158520
Provider Enumeration Date: 01/10/2006
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8820047780
Enrollment ID: I20050118000561

Medical Identifiers

Medical identifiers for Michelle Jackson Sumrall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639158520	NPI	-	NPPES
K182871	Other	KY	MEDICARE
000000225528	Other	KY	ANTHEM
300052072	Medicaid	IN
64049216	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	37097 (Kentucky)	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. Michelle Jackson Sumrall allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

Entity Name	Norton Childrens Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758

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. Michelle Jackson Sumrall 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
Michelle Jackson Sumrall, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490	Michelle Jackson Sumrall, MD 1301 Ring Rd, Elizabethtown, KY 42701-8968 Ph: (270) 765-2107

Reviews and Comments

Pediatrics Doctors in Elizabethtown, KY

Kristina L Knisely, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642
Linnea L Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642
Dr. Veronica Hurst Cammack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Helmwood Plaza Dr, Elizabethtown, KY 42701 Phone: 270-737-4808 Fax: 270-737-4939
Melissa Bland Flynn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Helmwood Plaza Dr, Elizabethtown, KY 42701 Phone: 270-737-4808 Fax: 270-737-4939
Dr. Hilary Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642
Alexis Cole, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 502-769-9642
Leigh Anne Pearman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Helmwood Plaza Drive, Elizabethtown, KY 42701 Phone: 270-737-4808 Fax: 270-737-4939

Michelle Jackson Sumrall, MD - Medicare Pediatrics in Elizabethtown, KY