Callissa G Ladner, NP-C - Medicare Nurse Practitioner in Laurel, MS

Callissa G Ladner, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Laurel, Mississippi. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Consultants Of South Mississippi Pa and her current practice location is 1706 W 12th St, Laurel, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 369-2028.

Callissa G Ladner is licensed to practice in Mississippi (license number 903129) 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 1144786229.

Contact Information

Callissa G Ladner, NP-C
1706 W 12th St,
Laurel, MS 39440-2559
(601) 369-2028
(601) 649-7805



Physician's Profile

Full NameCallissa G Ladner
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1706 W 12th St, Laurel, Mississippi
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Callissa G Ladner graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1144786229
  • Provider Enumeration Date: 02/14/2019
  • Last Update Date: 08/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1850624511
  • Enrollment ID: I20190612000177

Medical Identifiers

Medical identifiers for Callissa G Ladner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144786229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 903129 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 903129 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of CollinsCollins, MSHome health agency
Tender Loving CareGulfport, MSHome health agency
Merit Health WesleyHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pain Consultants Of South Mississippi Pa86280153692

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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. Callissa G Ladner allows following entities to bill medicare on her behalf.
Entity NamePain Consultants Of South Mississippi Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619920584
PECOS PAC ID: 8628015369
Enrollment ID: O20050413001026

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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. Callissa G Ladner 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
Callissa G Ladner, NP-C
1706 W 12th St,
Laurel, MS 39440-2559

Ph: (601) 369-2028
Callissa G Ladner, NP-C
1706 W 12th St,
Laurel, MS 39440-2559

Ph: (601) 369-2028

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