Carson Kisner, MD in Jackson, TN - Medicare Interventional Radiology

Carson Kisner, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Jackson, Tennessee. He went to University Of Mississippi School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Jackson Clinic Pa, Jackson Radiology Associates Pa and his current practice location is 60 Physicians Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 240-1747.

Carson Kisner is licensed to practice in Tennessee (license number 60769) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235558537.

Contact Information

	Carson Kisner, MD
	60 Physicians Dr, Jackson, TN 38305-2070
	(731) 240-1747
	(731) 240-1755

Map and Direction

Physician's Profile

Full Name	Carson Kisner
Gender	Male
Speciality	Interventional Radiology
Experience	11 Years
Location	60 Physicians Dr, Jackson, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carson Kisner attended and graduated from University Of Mississippi School Of Medicine in 2014

NPI Data:

NPI Number: 1235558537
Provider Enumeration Date: 04/15/2014
Last Update Date: 07/16/2020

Medicare PECOS Information:

PECOS PAC ID: 1052615556
Enrollment ID: I20200710001482

Medical Identifiers

Medical identifiers for Carson Kisner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235558537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	60769 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson-madison County General Hospital	Jackson, TN	Hospital
Volunteer Community Hospital	Martin, TN	Hospital
Milan General Hospital	Milan, TN	Hospital
Camden General Hospital	Camden, TN	Hospital
Bolivar General Hospital	Bolivar, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Clinic Pa	2668376872	189
Jackson Radiology Associates Pa	6305893231	26

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. Carson Kisner allows following entities to bill medicare on his behalf.

Entity Name	Jackson Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962

Entity Name	Jackson Radiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699700716 PECOS PAC ID: 6305893231 Enrollment ID: O20050404000399

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. Carson Kisner 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
Carson Kisner, MD 60 Physicians Dr, Jackson, TN 38305-2070 Ph: (731) 240-1747	Carson Kisner, MD 60 Physicians Dr, Jackson, TN 38305-2070 Ph: (731) 240-1747

Reviews and Comments

Radiology Doctors in Jackson, TN

Timothy Ray Crossett, MD Radiology Medicare: Medicare Enrolled Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-425-6274
Dr. Jack R Allison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0329
Dr. Allen L Schlamp, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-660-8759
Dr. James Lee Ellis Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-541-8008
Mr. Adam Lee Summerlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-541-8008
Paige Maurer, Radiology Medicare: May Accept Medicare Assignments Practice Location: 31 Sandstone Cir, Jackson, TN 38305 Phone: 731-240-1747

Carson Kisner, MD - Medicare Interventional Radiology in Jackson, TN