Dr Jasmine Simone Mckissick, MD in Monticello, AR

Dr Jasmine Simone Mckissick, MD is a medicare enrolled "Family Medicine" physician in Monticello, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ut Medical Group Inc and her current practice location is 535 Jordan Dr, Monticello, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 367-6246.

Dr Jasmine Simone Mckissick is licensed to practice in Arkansas (license number E-17905) 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 1619553393.

Contact Information

	Dr Jasmine Simone Mckissick, MD
	535 Jordan Dr, Monticello, AR 71655-5714
	(870) 367-6246
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jasmine Simone Mckissick
Gender	Female
Speciality	Family Practice
Experience	4 Years
Location	535 Jordan Dr, Monticello, Arkansas
Accepts Medicare Assignments	Yes. 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 Jasmine Simone Mckissick attended and graduated from University Of Arkansas College Of Medicine in 2021

NPI Data:

NPI Number: 1619553393
Provider Enumeration Date: 03/22/2021
Last Update Date: 11/02/2025

Medicare PECOS Information:

PECOS PAC ID: 1355746983
Enrollment ID: I20240725001472

Medical Identifiers

Medical identifiers for Dr Jasmine Simone Mckissick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619553393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	E-17905 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ut Medical Group Inc	3173435369	80

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 Jasmine Simone Mckissick allows following entities to bill medicare on her behalf.

Entity Name	Ut Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384

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 Jasmine Simone Mckissick 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
Dr Jasmine Simone Mckissick, MD 535 Jordan Dr, Monticello, AR 71655-5714 Ph: () -	Dr Jasmine Simone Mckissick, MD 535 Jordan Dr, Monticello, AR 71655-5714 Ph: (870) 367-6246

Reviews and Comments

Family Medicine Doctors in Monticello, AR

Jeffrey Hunter Reinhart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Jordan Dr, Monticello, AR 71655 Phone: 870-460-9777 Fax: 870-460-4790
Dr. Joseph Michael Fakouri Jr., M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 Roberts Dr, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-2228
Dr. Timothy M Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 Roberts Dr, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461
Mrs. Sandra Sheiron, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Dr, Monticello, AR 71655 Phone: 870-367-3246 Fax: 870-367-3271
Blayne Ellis Beene, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246
Dr. Fredy H Cordova, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 766 Hl Ross Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383

Dr Jasmine Simone Mckissick, MD - Medicare Family Practice in Monticello, AR