Jerry Ladon Outlaw, CRNP in Ozark, AL - Medicare Nurse Practitioner

Jerry Ladon Outlaw, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Ozark, Alabama. His current practice location is 145 Katherine Ave., Ozark, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 774-5116.

Jerry Ladon Outlaw is licensed to practice in Alabama (license number 1-070149) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609125202.

Contact Information

	Jerry Ladon Outlaw, CRNP
	145 Katherine Ave., Ozark, AL 36360-1987
	(334) 774-5116
	(334) 774-6848

Map and Direction

Provider's Profile

Full Name	Jerry Ladon Outlaw
Gender	Male
Speciality	Nurse Practitioner - Family
Location	145 Katherine Ave., Ozark, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609125202
Provider Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012

Medicare PECOS Information:

PECOS PAC ID: 3072745546
Enrollment ID: I20140415002272

Medical Identifiers

Medical identifiers for Jerry Ladon Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609125202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-070149 (Alabama)	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. Jerry Ladon Outlaw allows following entities to bill medicare on his behalf.

Entity Name	Northern Alabama Physicians, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669618310 PECOS PAC ID: 0143379388 Enrollment ID: O20090519000375

Entity Name	Southland Medical Solutions Of Ozark, Pl
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144545500 PECOS PAC ID: 6608907415 Enrollment ID: O20100623000165

Entity Name	Southland Hospitalist At Ozark, Pl
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750608949 PECOS PAC ID: 2769513167 Enrollment ID: O20100629000518

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. Jerry Ladon Outlaw 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
Jerry Ladon Outlaw, CRNP 145 Katherine Ave., Ozark, AL 36360-1987 Ph: (334) 774-5116	Jerry Ladon Outlaw, CRNP 145 Katherine Ave., Ozark, AL 36360-1987 Ph: (334) 774-5116

Reviews and Comments

Nurse Practitioner Nurses in Ozark, AL

Benjamin L Sneed, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1519 Andrews Ave, Ozark, AL 36360 Phone: 334-793-8087 Fax: 334-793-8191
Kayla Brooke Russell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 218 Hospital Ave Ste A, Ozark, AL 36360 Phone: 334-774-1982
Zara Kaitlin Benefield, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 633 S Union Ave, Ozark, AL 36360 Phone: 334-774-7572 Fax: 334-774-6237
Mrs. Kamesha Dees Moultry, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 Andrews Ave, Ozark, AL 36360 Phone: 334-774-1555
Joterian C Flowers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 532 W Roy Parker Rd, Ozark, AL 36360 Phone: 334-774-5146 Fax: 334-774-2333
Mrs. Margaret J. Hughes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1519 Andrews Ave, Ozark, AL 36360 Phone: 334-774-7610 Fax: 334-774-7288

Jerry Ladon Outlaw, CRNP - Medicare Nurse Practitioner in Ozark, AL