Sarah Elizabeth Conerly-sham, in Jackson, MS

Sarah Elizabeth Conerly-sham, is a medicare enrolled "Pediatrics" physician in Jackson, Mississippi. Her current practice location is 2500 North State Street, University Of Ms Medical Center, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5210.

Sarah Elizabeth Conerly-sham is licensed to practice in Mississippi (license number 22487) 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 1396057139.

Contact Information

	Sarah Elizabeth Conerly-sham,
	2500 North State Street, University Of Ms Medical Center, Jackson, MS 39216
	(601) 984-5210
	(601) 984-2086

Map and Direction

Physician's Profile

Full Name	Sarah Elizabeth Conerly-sham
Gender	Female
Speciality	Pediatrics
Location	2500 North State Street, 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: 1396057139
Provider Enumeration Date: 07/09/2010
Last Update Date: 05/23/2018

Medicare PECOS Information:

PECOS PAC ID: 2365684313
Enrollment ID: I20130805000359

Medical Identifiers

Medical identifiers for Sarah Elizabeth Conerly-sham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396057139	NPI	-	NPPES
00577519	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	T-2298 (Mississippi)	Secondary
208000000X	Pediatrics	22487 (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. Sarah Elizabeth Conerly-sham allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Sarah Elizabeth Conerly-sham 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
Sarah Elizabeth Conerly-sham, 2500 North State Street, University Of Ms Medical Center, Jackson, MS 39216-4505 Ph: (601) 984-5210	Sarah Elizabeth Conerly-sham, 2500 North State Street, University Of Ms Medical Center, Jackson, MS 39216 Ph: (601) 984-5210

Reviews and Comments

Pediatrics Doctors in Jackson, MS

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

Sarah Elizabeth Conerly-sham, - Medicare Pediatrics in Jackson, MS