Keneisha Dean, - Medicare Family Medicine in Canton, MS

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Keneisha Dean, is a medicare enrolled "Family Medicine" physician in Canton, Mississippi. Her current practice location is 1668 W Peace St, Canton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 859-5213.

Keneisha Dean is licensed to practice in Mississippi (license number 903945) 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 1295344224.

Contact Information

Keneisha Dean,
1668 W Peace St,
Canton, MS 39046-5332
(662) 859-5213
Not Available

Map and Direction




Physician's Profile

Full NameKeneisha Dean
GenderFemale
SpecialityFamily Medicine
Location1668 W Peace St, Canton, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295344224
  • Provider Enumeration Date: 07/27/2020
  • Last Update Date: 07/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3274952205
  • Enrollment ID: I20200924002058

Medical Identifiers

Medical identifiers for Keneisha Dean such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295344224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 903945 (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. Keneisha Dean allows following entities to bill medicare on her behalf.
Entity NameCentral Mississippi Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730120502
PECOS PAC ID: 2961398029
Enrollment ID: O20040225000632
Entity NameMinor Med Care, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407968738
PECOS PAC ID: 7618866021
Enrollment ID: O20040313000147
Entity NameMdb Behavioral Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669835310
PECOS PAC ID: 0749572915
Enrollment ID: O20160708000104

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. Keneisha Dean 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
Keneisha Dean,
416 Forest Ln,
Ridgeland, MS 39157-4134

Ph: (662) 299-9517		Keneisha Dean,
1668 W Peace St,
Canton, MS 39046-5332

Ph: (662) 859-5213

Reviews and Comments


Family Medicine Doctors in Canton, MS

Dr. Teresa Louise Mcketney, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1668 W Peace St, Canton, MS 39046
Phone: 601-859-5213    Fax: 601-859-9477
Allan Percy Durfey, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1421 E Peace St, Canton, MS 39046
Phone: 601-855-5131    
Dr. Colette Marie Scott, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1668 West Peace Street, Canton, MS 39046
Phone: 662-746-0907    
Dr. James Andrew Jefferson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1668 W Peace St, Canton, MS 39046
Phone: 601-859-5213    Fax: 601-859-8771
Dr. Lawrence Madison Sutton Ii, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1668 W Peace St, Canton, MS 39046
Phone: 601-859-5213    
Tressa Ann Matthews,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1668 W Peace St, Canton, MS 39046
Phone: 601-859-5213    

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.