David Shrock, PA-C - Medicare Physician Assistant in Jackson, MS

David Shrock, PA-C is a medicare enrolled "Physician Assistant" in Jackson, Mississippi. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St. Dominic Medical Associates Llc and his current practice location is 971 Lakeland Dr Ste 356, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 200-4644.

David Shrock is licensed to practice in Mississippi (license number PA00333) 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 1104288679.

Contact Information

David Shrock, PA-C
971 Lakeland Dr Ste 356,
Jackson, MS 39216-4607
(601) 200-4644
(601) 200-4645

Map and Direction




Provider's Profile

Full NameDavid Shrock
GenderMale
SpecialityPhysician Assistant
Experience9 Years
Location971 Lakeland Dr Ste 356, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Shrock graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1104288679
  • Provider Enumeration Date: 03/24/2016
  • Last Update Date: 02/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759673098
  • Enrollment ID: I20170724003235

Medical Identifiers

Medical identifiers for David Shrock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104288679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 1234567890 (Virginia)Secondary
363A00000XPhysician Assistant PA00333 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Dominic-jackson Memorial HospitalJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Dominic Medical Associates Llc0446303168156

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. David Shrock 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
David Shrock, PA-C
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (601) 200-4644
David Shrock, PA-C
971 Lakeland Dr Ste 356,
Jackson, MS 39216-4607

Ph: (601) 200-4644

Reviews and Comments


Physician Assistant Nurses in Jackson, MS

Amber Goodman, PA-C
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Phone: 601-982-7850    Fax: 601-366-8507
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Practice Location: 2500 N State St, Jackson, MS 39216
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Kelsey A North, PA-C
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Phone: 513-708-4211    
Mary Allison Durr, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1325 E Fortification St, Jackson, MS 39202
Phone: 601-354-4488    Fax: 601-914-1835
Sarah Joanna Mason, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 7275 S Siwell Rd, Jackson, MS 39272
Phone: 601-373-7722    Fax: 601-373-7128
Mrs. Victoria Nicole Lott, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 656, Jackson, MS 39216
Phone: 601-366-6606    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.