Kimyuana Jackson Dorris, PMHNP, AGNP-C - Medicare Family Medicine in Flowood, MS

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Kimyuana Jackson Dorris, PMHNP, AGNP-C is a medicare enrolled "Family Medicine - Adult Medicine" physician in Flowood, Mississippi. Her current practice location is 215 Katherine Dr Ste A, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 665-4162.

Kimyuana Jackson Dorris is licensed to practice in Mississippi (license number 904207) 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 1184222374.

Contact Information

Kimyuana Jackson Dorris, PMHNP, AGNP-C
215 Katherine Dr Ste A,
Flowood, MS 39232-9588
(601) 665-4162
(888) 398-1151

Map and Direction




Physician's Profile

Full NameKimyuana Jackson Dorris
GenderFemale
SpecialityFamily Medicine - Adult Medicine
Location215 Katherine Dr Ste A, Flowood, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184222374
  • Provider Enumeration Date: 10/11/2020
  • Last Update Date: 02/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547783318
  • Enrollment ID: I20250402001695

Medical Identifiers

Medical identifiers for Kimyuana Jackson Dorris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184222374NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 904207 (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. Kimyuana Jackson Dorris allows following entities to bill medicare on her behalf.
Entity NameMonogram Health Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326655986
PECOS PAC ID: 4880004183
Enrollment ID: O20210111001028

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. Kimyuana Jackson Dorris 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
Kimyuana Jackson Dorris, PMHNP, AGNP-C
20 Hobo Fork Rd,
Natchez, MS 39120-9025

Ph: () -		Kimyuana Jackson Dorris, PMHNP, AGNP-C
215 Katherine Dr Ste A,
Flowood, MS 39232-9588

Ph: (601) 665-4162

Reviews and Comments


Family Medicine Doctors in Flowood, MS

Hannah Ray,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2466 Flowood Dr, Flowood, MS 39232
Phone: 601-815-5700    Fax: 601-815-5795
Anuj Marya, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1050 River Oaks Dr Ste 100, Flowood, MS 39232
Phone: 601-200-4760    
Dr. Susan Frichter Williams, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 151 E Metro Dr Ste 103, Flowood, MS 39232
Phone: 601-992-3288    Fax: 601-992-3188
Alana Piersanti, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2466 Flowood Dr, Flowood, MS 39232
Phone: 601-815-5700    Fax: 601-815-5795
Dr. Kevin Michael Young, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Layfair Dr, Suite 100, Flowood, MS 39232
Phone: 601-939-4008    
Christopher D. Boston, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 294 E Layfair Dr, Flowood, MS 39232
Phone: 601-414-6520    

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.