Dr Jesse C Ethridge, MD - Medicare Obstetrics/gynecology in Jackson, MS

Dr Jesse C Ethridge, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice The Womans Clinic Of Ms Pllc and his current practice location is 501 Marshall Street, Suite 400, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 354-0869.

Dr Jesse C Ethridge is licensed to practice in Mississippi (license number 12438) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043263841.

Contact Information

Dr Jesse C Ethridge, MD
501 Marshall Street, Suite 400,
Jackson, MS 39202-1687
(601) 354-0869
(601) 352-6521



Physician's Profile

Full NameDr Jesse C Ethridge
GenderMale
SpecialityObstetrics/gynecology
Experience40 Years
Location501 Marshall Street, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jesse C Ethridge attended and graduated from University Of Mississippi School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1043263841
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 11/19/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4789873209
  • Enrollment ID: I20110113000685

Medical Identifiers

Medical identifiers for Dr Jesse C Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043263841NPI-NPPES
0011229MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 12438 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Womans Clinic Of Ms Pllc721400344113

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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. Dr Jesse C Ethridge allows following entities to bill medicare on his behalf.
Entity NameThe Womans Clinic Of Ms Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003843210
PECOS PAC ID: 7214003441
Enrollment ID: O20080911000442

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Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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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. Dr Jesse C Ethridge 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 Jesse C Ethridge, MD
501 Marshall Street, Suite 400,
Jackson, MS 39202-1687

Ph: (601) 354-0869
Dr Jesse C Ethridge, MD
501 Marshall Street, Suite 400,
Jackson, MS 39202-1687

Ph: (601) 354-0869

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Obstetrics & Gynecology Doctors in Jackson, MS

Dr. Mary Kinney Lowe Corley, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5339    
Dr. Sarah Novotny, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Department Of Ob/gyn, Jackson, MS 39216
Phone: 601-984-5358    
Dr. Ashley Miller Canizaro, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 River Oaks Drive, Suite 310, Jackson, MS 39232
Phone: 601-932-5006    Fax: 601-932-4548
Elizabeth Kaitlyn Mize, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Department Of Obgyn, Jackson, MS 39216
Phone: 601-984-5338    Fax: 601-815-4112
Dr. Virginia A Jones, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 501 Marshall St, Ste 400, Jackson, MS 39202
Phone: 601-354-0869    Fax: 601-352-6521
Dr. William Cleland, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5373    Fax: 601-984-5476
Dr. William Garner Bush, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 River Oaks Dr, Suite 410, Jackson, MS 39232
Phone: 601-664-0111    Fax: 601-932-1308

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