Dr Kaylise Angelle Trahan, MD - Medicare Emergency Medicine in Vicksburg, MS

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Dr Kaylise Angelle Trahan, MD is a medicare enrolled "Emergency Medicine" physician in Vicksburg, Mississippi. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Jackson Hb Medical Services Llc and her current practice location is 2100 Highway 61 N, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 883-5000.

Dr Kaylise Angelle Trahan is licensed to practice in Mississippi (license number 28095) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023505161.

Contact Information

Dr Kaylise Angelle Trahan, MD
2100 Highway 61 N,
Vicksburg, MS 39183-8211
(601) 883-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kaylise Angelle Trahan
GenderFemale
SpecialityEmergency Medicine
Experience6 Years
Location2100 Highway 61 N, Vicksburg, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kaylise Angelle Trahan graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1023505161
  • Provider Enumeration Date: 04/14/2018
  • Last Update Date: 06/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062761695
  • Enrollment ID: I20210210000834

Medical Identifiers

Medical identifiers for Dr Kaylise Angelle Trahan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023505161NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 28095 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Charles Memorial HospitalLake charles, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jackson Hb Medical Services Llc610327313130

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kaylise Angelle Trahan allows following entities to bill medicare on her behalf.
Entity NameIndependent Healthcare Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306909734
PECOS PAC ID: 0840197232
Enrollment ID: O20031215000487
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameCapital Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528405230
PECOS PAC ID: 0244471480
Enrollment ID: O20130730000783
Entity NameApp Of Mississippi Ed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534
Entity NameGrenada Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194388082
PECOS PAC ID: 2163854225
Enrollment ID: O20191112001896
Entity NameNatchez Hb Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770264459
PECOS PAC ID: 8921461286
Enrollment ID: O20230905000471
Entity NameJackson Hb Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184305856
PECOS PAC ID: 6103273131
Enrollment ID: O20231113001051

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. Dr Kaylise Angelle Trahan 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
Dr Kaylise Angelle Trahan, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: () -		Dr Kaylise Angelle Trahan, MD
2100 Highway 61 N,
Vicksburg, MS 39183-8211

Ph: (601) 883-5000

Reviews and Comments


Emergency Medicine Doctors in Vicksburg, MS

James Henry Carr, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Brian D Hudson,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Brandon J Craft, NP
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2080 S Frontage Rd, Vicksburg, MS 39180
Phone: 601-262-1000    Fax: 601-262-1009
Dr. William E Johnston Jr., MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Mission 66, Vicksburg, MS 39180
Phone: 601-636-0097    Fax: 601-629-9969
Christopher L Jackson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Brandon Mizell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1907 Mission 66, Vicksburg, MS 39180
Phone: 601-636-1173    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.