Katelyn Mccluskey Liles, PA-C is a medicare enrolled "Physician Assistant - Medical" in Senatobia, Mississippi. Her current practice location is
2778 Highway 51 S, Senatobia, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 560-5966.
Katelyn Mccluskey Liles is licensed to practice in Mississippi (license number PA00605) 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 1144984451.
Provider's Profile
Full Name | Katelyn Mccluskey Liles |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 2778 Highway 51 S, Senatobia, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144984451
- Provider Enumeration Date: 10/25/2021
- Last Update Date: 10/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597157453
- Enrollment ID: I20220126002751
Medical Identifiers
Medical identifiers for Katelyn Mccluskey Liles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144984451 | NPI | - | NPPES |
PA00605 | Other | MS | PHYSICIAN ASSISTANT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA00605 (Mississippi) | Primary |
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. Katelyn Mccluskey Liles 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 |
Katelyn Mccluskey Liles, PA-C 2778 Highway 51 S, Senatobia, MS 38668-9403 Ph: (662) 560-5966 | Katelyn Mccluskey Liles, PA-C 2778 Highway 51 S, Senatobia, MS 38668-9403 Ph: (662) 560-5966 |
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