Dr Kimberly Simmons Sullivan, MD - Medicare Obstetrics & Gynecology in Jackson, MS

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Dr Kimberly Simmons Sullivan, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5338.

Dr Kimberly Simmons Sullivan is licensed to practice in Mississippi (license number T-3432) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114453594.

Contact Information

Dr Kimberly Simmons Sullivan, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 984-5338
(601) 815-4112

Map and Direction




Physician's Profile

Full NameDr Kimberly Simmons Sullivan
GenderFemale
SpecialityObstetrics & Gynecology - Maternal & Fetal Medicine
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114453594
  • Provider Enumeration Date: 05/04/2017
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830463694
  • Enrollment ID: I20211215002431

Medical Identifiers

Medical identifiers for Dr Kimberly Simmons Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114453594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 2024-02098 (North Carolina)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine T-3432 (Mississippi)Primary

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 Kimberly Simmons Sullivan allows following entities to bill medicare on her behalf.
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 NameObhg Mississippi Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083995674
PECOS PAC ID: 7416120407
Enrollment ID: O20111108000567
Entity NameState Of Mississippi-university Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841620846
PECOS PAC ID: 1850293036
Enrollment ID: O20140422001853
Entity NameHaven Pregnancy Wellness & Womens Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336824978
PECOS PAC ID: 7315394525
Enrollment ID: O20231109001978

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 Kimberly Simmons Sullivan 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 Kimberly Simmons Sullivan, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5338		Dr Kimberly Simmons Sullivan, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5338

Reviews and Comments


Obstetrics & Gynecology Doctors in Jackson, MS

Dr. Mary Kinney Lowe Corley, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5339    
Dr. Sarah Novotny, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Department Of Ob/gyn, Jackson, MS 39216
Phone: 601-984-5358    
Dr. Ashley Miller Canizaro, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 River Oaks Drive, Suite 310, Jackson, MS 39232
Phone: 601-932-5006    Fax: 601-932-4548
Elizabeth Kaitlyn Mize, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Department Of Obgyn, Jackson, MS 39216
Phone: 601-984-5338    Fax: 601-815-4112
Dr. Virginia A Jones, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 501 Marshall St, Ste 400, Jackson, MS 39202
Phone: 601-354-0869    Fax: 601-352-6521
Dr. William Cleland, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5373    Fax: 601-984-5476
Dr. William Garner Bush, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 River Oaks Dr, Suite 410, Jackson, MS 39232
Phone: 601-664-0111    Fax: 601-932-1308

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.