MRS. MARY FASER LOVERTICH PA-C
NPI 1366294175
Physician Assistant - Medical in Jackson, MS

Q: What is Mary Lovertich's NPI number?

The NPI number for Mary Lovertich is 1366294175. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Q: What is Mary Lovertich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Lovertich was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2024PECOS EnrolledAccepts Medicare Assignment

1200 N STATE ST STE 270, JACKSON, MS 39202(601) 714-6470 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2024, Apr 4, 2024 (2 updates tracked since 2024).

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About Mrs. Mary Faser Lovertich Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY FASER LOVERTICH PA-C (NPI 1366294175) is an individual medical provider in Jackson, Mississippi, licensed in Mississippi (PA00793) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366294175

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MARY FASER LOVERTICHCredential: PA-C

Location Address1200 N STATE ST STE 270Jackson, MS 39202-2027

Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · (901) 227-7015 · Fax (901) 227-8591

Phone(601) 714-6470

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 4, 2024

Last NPPES UpdateApril 12, 20242 updates tracked since enumeration

NPPES CertifiedApril 12, 2024

✔ NPI 1366294175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MS · PA00793

1200 N STATE ST STE 270, Jackson, MS 39202

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Other Names 1

Former Name (1)Miss Mary Fraser Walker

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Faser Lovertich Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42754491

PECOS Enrollment IDI20240627000062

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.

Internal Medicine