Mrs Lacey Mixon Mayfield, ARNP in Jackson, MS

Mrs Lacey Mixon Mayfield, ARNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Jackson, Mississippi. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Dominic Medical Associates Llc, St. Dominic Jackson Memorial and her current practice location is 971 Lakeland Dr Ste 1250, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-5955.

Mrs Lacey Mixon Mayfield is licensed to practice in Mississippi (license number 887159) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427473172.

Contact Information

	Mrs Lacey Mixon Mayfield, ARNP
	971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609
	(601) 200-5955
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lacey Mixon Mayfield
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	971 Lakeland Dr Ste 1250, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lacey Mixon Mayfield graduated from nursing school in 2013

NPI Data:

NPI Number: 1427473172
Provider Enumeration Date: 03/04/2014
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2961726393
Enrollment ID: I20150113001815

Medical Identifiers

Medical identifiers for Mrs Lacey Mixon Mayfield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427473172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	ARNP9430902 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	887159 (Mississippi)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	887159 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Dominic Medical Associates Llc	0446303168	156
St. Dominic Jackson Memorial	4385531847	41

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. Mrs Lacey Mixon Mayfield allows following entities to bill medicare on her behalf.

Entity Name	St. Dominic Jackson Memorial
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818

Entity Name	St. Dominic Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821

Entity Name	Relias Emergency Medicine Specialists Of St Dominic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235808122 PECOS PAC ID: 2466840152 Enrollment ID: O20211029000889

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. Mrs Lacey Mixon Mayfield 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
Mrs Lacey Mixon Mayfield, ARNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-5955	Mrs Lacey Mixon Mayfield, ARNP 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 Ph: (601) 200-5955

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Mrs Lacey Mixon Mayfield, ARNP - Medicare Nurse Practitioner in Jackson, MS