Jacob Cole Lee, PA-C - Medicare Physician Assistant in Southaven, MS

Jacob Cole Lee, PA-C is a medicare enrolled "Physician Assistant" in Southaven, Mississippi. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Campbell Clinic Pc, Campbell Clinic Pc and his current practice location is 7545 Airways Blvd, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (901) 759-3100.

Jacob Cole Lee is licensed to practice in * (Not Available) (license number ) 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 1104431485.

Contact Information

Jacob Cole Lee, PA-C
7545 Airways Blvd,
Southaven, MS 38671-5806
(901) 759-3100
Not Available



Provider's Profile

Full NameJacob Cole Lee
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location7545 Airways Blvd, Southaven, 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:
  • Jacob Cole Lee graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1104431485
  • Provider Enumeration Date: 09/13/2020
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537573266
  • Enrollment ID: I20210120002816

Medical Identifiers

Medical identifiers for Jacob Cole Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104431485NPI-NPPES
Q063672MedicaidTN
00827741MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Campbell Clinic Pc9638082076139
Campbell Clinic Pc9638082076139

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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. Jacob Cole Lee 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
Jacob Cole Lee, PA-C
1400 S Germantown Rd,
Germantown, TN 38138-2205

Ph: (901) 759-3100
Jacob Cole Lee, PA-C
7545 Airways Blvd,
Southaven, MS 38671-5806

Ph: (901) 759-3100

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Physician Assistant Nurses in Southaven, MS

Nikara Kilpatrick, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9140 Highway 51 N, Southaven, MS 38671
Phone: 662-280-8222    
Brooklyn Paige Snell, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4000    
Brandye Nicole Wilson, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 125 Goodman Rd W Ste D, Southaven, MS 38671
Phone: 662-932-3560    Fax: 662-534-2330
Donald Wayne Washburn Iii,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4000    
Pamela Lynn Davis, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620
Caroline Sabbatini Moreland, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7585 Clarington Cv, Southaven, MS 38671
Phone: 662-349-0200    Fax: 662-349-1666

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