PATRISE BENNETT MD
NPI 1407878747
Family Medicine in Jackson, MS

Q: What is Patrise Bennett's NPI number?

The NPI number for Patrise Bennett is 1407878747. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Patrise Bennett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrise Bennett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2006PECOS Enrolled

5606 OLD CANTON RD, JACKSON, MS 39211(601) 957-3333(601) 957-3334 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Patrise Bennett Md NPPES

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

PATRISE BENNETT MD (NPI 1407878747) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (15488) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407878747

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePATRISE BENNETTCredential: MD

Location Address5606 OLD CANTON RDJackson, MS 39211-4217

Mailing Address5606 Old Canton RdJackson, MS 39211-4217 · (601) 957-3333 · Fax (601) 957-3334

Phone(601) 957-3333

Fax(601) 957-3334

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407878747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 15488

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5606 OLD CANTON RD, Jackson, MS 39211

Open in Google Maps ↗

Other Identifiers 2

Medicare UPING63678MS

Medicaid0118967MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrise Bennett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

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.

DAVID JOE MD

Family Medicine