Rowdy Chance Lee, MD is a medicare enrolled "Orthopaedic Surgery" in Jackson, Mississippi. His current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 984-5153.
Rowdy Chance Lee is licensed to practice in Mississippi (license number T-4299) 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 1063848075.
Provider's Profile
| Full Name | Rowdy Chance Lee |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 2500 N State St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063848075
- Provider Enumeration Date: 09/23/2013
- Last Update Date: 07/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042448334
- Enrollment ID: I20140113001197
Medical Identifiers
Medical identifiers for Rowdy Chance Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063848075 | NPI | - | NPPES |
| 04402871 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA00186 (Mississippi) | Secondary |
| 363A00000X | Physician Assistant | PA976 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Mississippi) | Secondary |
| 207X00000X | Orthopaedic Surgery | T-4299 (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. Rowdy Chance Lee 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 |
|---|
Rowdy Chance Lee, MD
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 984-5153 | Rowdy Chance Lee, MD
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 984-5153 |
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