Lease Wordlaw, NURSE PRACTITONER is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Starkville, Mississippi. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mallory Community Health and her current practice location is
1815 Watershed Dr, Starkville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 312-2737.
Lease Wordlaw is licensed to practice in Mississippi (license number 901466) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1578923454.
Provider's Profile
| Full Name | Lease Wordlaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1815 Watershed Dr, Starkville, Mississippi |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lease Wordlaw graduated from nursing school in 2016
NPI Data:
- NPI Number: 1578923454
- Provider Enumeration Date: 03/04/2016
- Last Update Date: 03/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 6406131556
- Enrollment ID: I20170403000414
Medical Identifiers
Medical identifiers for Lease Wordlaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578923454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | 901466 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mallory Community Health | 9739074501 | 11 |
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. Lease Wordlaw allows following entities to bill medicare on her behalf.
| Entity Name | Mallory Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740308873
PECOS PAC ID: 9739074501
Enrollment ID: O20040219000709 |
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| Entity Name | First Priority Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194414342
PECOS PAC ID: 8628424611
Enrollment ID: O20231027000120 |
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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. Lease Wordlaw 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 |
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Lease Wordlaw, NURSE PRACTITONER
Po Box 373,
Maben, MS 39750-0373
Ph: (662) 312-2737 | Lease Wordlaw, NURSE PRACTITONER
1815 Watershed Dr,
Starkville, MS 39759-8471
Ph: (662) 312-2737 |
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