DR. JEANNE MARIAH LILLY PHD
NPI 1457120545
Psychologist in Clarksdale, MS
About Dr. Jeanne Mariah Lilly Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEANNE MARIAH LILLY PHD (NPI 1457120545) is an individual psychologist in Clarksdale, Mississippi, licensed in Mississippi (621115) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeanne Mariah Lilly Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeanne Lilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clarksdale, MS 38614
- Reassigned Medicare billing, Mississippi enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLARKSDALE, MS 38614
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeanne Lilly's NPI number?
The NPI number for Jeanne Lilly is 1457120545. It was assigned to this individual provider in the NPPES registry on December 29, 2023.
Where is Jeanne Lilly located?
Jeanne Lilly practices at 785 Ohio Ave Ste 3E, Clarksdale, MS 38614. The listed phone number is (662) 351-0702.
What is Jeanne Lilly's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jeanne Lilly enrolled in Medicare?
Yes. Jeanne Lilly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeanne Lilly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Lilly reassigns Medicare benefits to Sai Sanjeevani Medical Group LLC (Clarksdale, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanne Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeanne Lilly accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Jeanne Lilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeanne Lilly was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.