Jonathan W Shook, MD - Medicare Pediatrics in Hattiesburg, MS

Jonathan W Shook, MD is a medicare enrolled "Pediatrics" physician in Hattiesburg, Mississippi. His current practice location is 101 Medical Park, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 579-3000.

Jonathan W Shook is licensed to practice in Mississippi (license number 19308) 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 1881703445.

Contact Information

Jonathan W Shook, MD
101 Medical Park,
Hattiesburg, MS 39401
(601) 579-3000
(601) 579-5240



Physician's Profile

Full NameJonathan W Shook
GenderMale
SpecialityPediatrics
Location101 Medical Park, Hattiesburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881703445
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 07/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698770584
  • Enrollment ID: I20060928000025

Medical Identifiers

Medical identifiers for Jonathan W Shook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881703445NPI-NPPES
04878346MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 19308 (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. Jonathan W Shook allows following entities to bill medicare on his behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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Entity NameForrest County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295837631
PECOS PAC ID: 1052397767
Enrollment ID: O20040624001351

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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. Jonathan W Shook 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
Jonathan W Shook, MD
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 268-3735
Jonathan W Shook, MD
101 Medical Park,
Hattiesburg, MS 39401

Ph: (601) 579-3000

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Pediatrics Doctors in Hattiesburg, MS

Megan Dillon, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4210 Lincoln Rd, Hattiesburg, MS 39402
Phone: 601-261-3500    Fax: 601-579-5240
Lowry C Stanford Jr., MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 39 Franklin Rd, Ste 220, Hattiesburg, MS 39402
Phone: 601-296-3050    
Joshua Ryan Allen,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5001 Hardy St, Hattiesburg, MS 39402
Phone: 601-268-8000    
Damea B Benton, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Medical Park, Hattiesburg, MS 39401
Phone: 601-579-3000    Fax: 601-579-5240
Dr. Elizabeth M Felder, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 102 Medical Park, Hattiesburg, MS 39401
Phone: 601-261-5159    Fax: 601-545-1740
Jeffrey C Williams, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 26 Deer Vly, Hattiesburg, MS 39402
Phone: 601-467-7336    
Dr. John Wells Gaudet, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 39 Franklin Rd, Ste. 200, Hattiesburg, MS 39402
Phone: 601-296-3050    Fax: 601-296-3013

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