Lee Pace, FNP, OTR - Medicare in Hattiesburg, MS

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Lee Pace, FNP, OTR is a medicare enrolled "Nurse Practitioner - Family" provider in Hattiesburg, Mississippi. His current practice location is 6051 U S Highway 49, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 288-7000.

Lee Pace is licensed to practice in Mississippi (license number R879013) 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 1073811717.

Contact Information

Lee Pace, FNP, OTR
6051 U S Highway 49,
Hattiesburg, MS 39401-7201
(601) 288-7000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLee Pace
GenderMale
SpecialityNurse Practitioner - Family
Location6051 U S Highway 49, Hattiesburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073811717
  • Provider Enumeration Date: 03/04/2011
  • Last Update Date: 03/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759524135
  • Enrollment ID: I20141203002430

Medical Identifiers

Medical identifiers for Lee Pace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073811717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT1385 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family CNP-02475 (New Mexico)Secondary
363LF0000XNurse Practitioner - Family AP5005 (Arizona)Secondary
363LF0000XNurse Practitioner - Family R879013 (Mississippi)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. Lee Pace allows following entities to bill medicare on his behalf.
Provider NameFgh Trauma Surgery Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1427090398
PECOS PAC ID: 7517916331
Enrollment ID: O20050119000801
Provider NameKeystone Medical Services Of Ms Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174691059
PECOS PAC ID: 7618075177
Enrollment ID: O20070606000447
Provider NamePioneer Health Care , Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1336384742
PECOS PAC ID: 4789740044
Enrollment ID: O20090311000659
Provider NameOrange Grove Urgent Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Provider NameHancock Emergency Group Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295142396
PECOS PAC ID: 8022237015
Enrollment ID: O20140924002285
Provider NameKeystone Medical Services Of Gulfport Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881070183
PECOS PAC ID: 7113221011
Enrollment ID: O20160215000517
Provider NameRelias Emergency Medicine Specialists Of Hattiesburg Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609409440
PECOS PAC ID: 9032549142
Enrollment ID: O20200413002970

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. Lee Pace 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 AddressPractice Location Address
Lee Pace, FNP, OTR
2910 Magnolia Pl,
Hattiesburg, MS 39402-2428

Ph: (662) 610-0847		Lee Pace, FNP, OTR
6051 U S Highway 49,
Hattiesburg, MS 39401-7201

Ph: (601) 288-7000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.