Kelley Bishop, MD in Jackson, MS - Medicare Family Practice

Kelley Bishop, MD is a medicare enrolled "Family Medicine" physician in Jackson, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Medical Foundation Of Central Mississippi Inc and 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) 984-1000.

Kelley Bishop is licensed to practice in Mississippi (license number 16770) 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 1679596613.

Contact Information

	Kelley Bishop, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-1000
	(601) 984-6811

Map and Direction

Physician's Profile

Full Name	Kelley Bishop
Gender	Female
Speciality	Family Practice
Experience	28 Years
Location	2500 N State St, Jackson, Mississippi
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:

Kelley Bishop attended and graduated from University Of Mississippi School Of Medicine in 1996

NPI Data:

NPI Number: 1679596613
Provider Enumeration Date: 07/25/2006
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4789865205
Enrollment ID: I20110216000863

Medical Identifiers

Medical identifiers for Kelley Bishop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679596613	NPI	-	NPPES
P01245547	Other	MS	RAILROAD MEDICARE
302I080477	Other	MS	MEDICARE PTAN
0122139	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	16770 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mississippi Baptist Medical Center	Jackson, MS	Hospital
University Of Mississippi Med Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Foundation Of Central Mississippi Inc	1153216411	233

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. Kelley Bishop allows following entities to bill medicare on her behalf.

Entity Name	First Intermed Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669406658 PECOS PAC ID: 5294629895 Enrollment ID: O20040213000105

Entity Name	Medical Foundation Of Central Mississippi Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Kelley Bishop 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
Kelley Bishop, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000	Kelley Bishop, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000

Reviews and Comments

Family Medicine Doctors in Jackson, MS

Dr. Tesia Shani Hall-hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204 Phone: 601-914-0163 Fax: 601-914-0170
Mrs. Christian Fortenberry, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560
Dr. Marcia L Howard, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216 Phone: 601-984-5426 Fax: 601-984-6889
Stephen Paul Epperson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-5241
Deborah O'bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-4778 Fax: 601-984-5420
Dr. Cassandra Faye Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-981-7198 Fax: 601-981-6616
Mrs. Sydney Mccary Ponder, Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488

Kelley Bishop, MD - Medicare Family Practice in Jackson, MS