Rowdy Chance Lee, MD in Jackson, MS - Medicare Orthopaedic Surgery

Rowdy Chance Lee, MD is a medicare enrolled "Orthopaedic Surgery" in Jackson, Mississippi. His current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5153.

Rowdy Chance Lee is licensed to practice in Mississippi (license number T-4299) 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 1063848075.

Contact Information

	Rowdy Chance Lee, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-5153
	Not Available

Provider's Profile

Full Name	Rowdy Chance Lee
Gender	Male
Speciality	Orthopaedic Surgery
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063848075
Provider Enumeration Date: 09/23/2013
Last Update Date: 07/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0042448334
Enrollment ID: I20140113001197

Medical Identifiers

Medical identifiers for Rowdy Chance Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063848075	NPI	-	NPPES
04402871	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00186 (Mississippi)	Secondary
363A00000X	Physician Assistant	PA976 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Mississippi)	Secondary
207X00000X	Orthopaedic Surgery	T-4299 (Mississippi)	Primary

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. Rowdy Chance 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 Address	Practice Location Address
Rowdy Chance Lee, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5153	Rowdy Chance Lee, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5153

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Rowdy Chance Lee, MD - Medicare Orthopaedic Surgery in Jackson, MS