Kelsey Elyce Koch, MD - Medicare Thoracic Surgery in Jackson, MS

Kelsey Elyce Koch, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Jackson, Mississippi. She went to Stanford University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Thoracic Surgery. She is a member of the group practice St. Dominic Medical Associates Llc, State Of Mississippi-university Of Mississippi Medical Center and her current practice location is 971 Lakeland Dr Ste 220, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-2780.

Kelsey Elyce Koch is licensed to practice in Mississippi (license number 35449) 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 1619327848.

Contact Information

Kelsey Elyce Koch, MD
971 Lakeland Dr Ste 220,
Jackson, MS 39216-4643
(601) 200-2780
(601) 200-2788

Map and Direction




Physician's Profile

Full NameKelsey Elyce Koch
GenderFemale
SpecialityThoracic Surgery
Experience10 Years
Location971 Lakeland Dr Ste 220, Jackson, 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:
  • Kelsey Elyce Koch attended and graduated from Stanford University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1619327848
  • Provider Enumeration Date: 06/19/2016
  • Last Update Date: 06/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1052603743
  • Enrollment ID: I20250912003316

Medical Identifiers

Medical identifiers for Kelsey Elyce Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619327848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery R-10660 (Iowa)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 35449 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital
St Dominic-jackson Memorial HospitalJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Dominic Medical Associates Llc0446303168124
State Of Mississippi-university Of Mississippi Medical Center1850293036956

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. Kelsey Elyce Koch 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
Kelsey Elyce Koch, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 815-1331
Kelsey Elyce Koch, MD
971 Lakeland Dr Ste 220,
Jackson, MS 39216-4643

Ph: (601) 200-2780

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Jackson, MS

Dr. Richard P Cochran, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 406-640-4933    
Pierre Edouard De Delva, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 220, Jackson, MS 39216
Phone: 601-200-2780    
Dr. Lawrence Lee Creswell, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5170    Fax: 601-984-5198
Dr. Craig Vorpe Adams, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 657, Jackson, MS 39216
Phone: 601-200-2780    
Dr. Ali Dodge-khatami, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Division Of Pediatric Cardiac Surgery, Jackson, MS 39216
Phone: 601-984-4693    
Dr. Charles S O'mara, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5105    Fax: 601-815-3322
Dr. Albert Michael Koury, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 501 Marshall St, Suite 100, Jackson, MS 39202
Phone: 601-969-7467    Fax: 601-948-1417

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.