Dr Jeanne Mariah Lilly, PHD - Medicare Psychologist in Clarksdale, MS

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Dr Jeanne Mariah Lilly, PHD is a medicare enrolled "Psychologist" provider in Clarksdale, Mississippi. Her current practice location is 785 Ohio Ave Ste 3e, Clarksdale, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 351-0702.

Dr Jeanne Mariah Lilly is licensed to practice in Mississippi (license number 621115) 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 1457120545.

Contact Information

Dr Jeanne Mariah Lilly, PHD
785 Ohio Ave Ste 3e,
Clarksdale, MS 38614-6215
(662) 351-0702
(662) 351-0703

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeanne Mariah Lilly
GenderFemale
SpecialityPsychologist
Location785 Ohio Ave Ste 3e, Clarksdale, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457120545
  • Provider Enumeration Date: 12/29/2023
  • Last Update Date: 08/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395189518
  • Enrollment ID: I20240215002833

Medical Identifiers

Medical identifiers for Dr Jeanne Mariah Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457120545NPI-NPPES
200010527MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 621115 (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. Dr Jeanne Mariah Lilly allows following entities to bill medicare on her behalf.
Entity NameSai Sanjeevani Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871361121
PECOS PAC ID: 5395188858
Enrollment ID: O20240213000290

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. Dr Jeanne Mariah Lilly 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
Dr Jeanne Mariah Lilly, PHD
785 Ohio Ave Ste 3e,
Clarksdale, MS 38614-6215

Ph: (662) 351-0702		Dr Jeanne Mariah Lilly, PHD
785 Ohio Ave Ste 3e,
Clarksdale, MS 38614-6215

Ph: (662) 351-0702

Reviews and Comments


Psychologist in Clarksdale, MS

Robin Johnson,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 905 School St, Clarksdale, MS 38614
Phone: 662-351-4668    
Dr. Michele N Carroll,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1742 Cheryl St, Clarksdale, MS 38614
Phone: 662-627-7267    Fax: 662-627-5240

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.