| Kenneth Kaiser, NP | |
|
11 Professional Pkwy, Ridgeland, MS 39157-4113 | |
| (601) 856-2460 | |
| (601) 856-4687 |
| Full Name | Kenneth Kaiser |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 11 Professional Pkwy, Ridgeland, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073557039 | NPI | - | NPPES |
| 00125332 | Medicaid | MS | |
| 202011213A | Other | MS | BLUE CROSS |
| 00125332 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R856338 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health River Region | Vicksburg, MS | Hospital |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indira Inc | 2668543349 | 4 |
| Jackson Hb Medical Services Llc | 6103273131 | 39 |
| Entity Name | Indira Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316128762 PECOS PAC ID: 2668543349 Enrollment ID: O20080624000559 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Jackson Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184305856 PECOS PAC ID: 6103273131 Enrollment ID: O20231113001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Kaiser, NP 11 Professional Pkwy, Ridgeland, MS 39157-4113 Ph: (601) 856-2460 | Kenneth Kaiser, NP 11 Professional Pkwy, Ridgeland, MS 39157-4113 Ph: (601) 856-2460 |
Ebonique Martin Buckner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 | |
Thomas Howington, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 786 Lake Harbour Dr, Ridgeland, MS 39157 Phone: 601-499-0022 | |
Mrs. Ana Evelia Recinos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Highland Colony Pkwy Ste 209, Ridgeland, MS 39157 Phone: 601-707-3737 | |
Dr. Amanda B Greene, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157 Phone: 601-499-0282 Fax: 601-499-0347 | |
Mrs. Michelle Hughes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 | |
Ms. Barbara Ann Bradley, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Highway 51 Ste T, Ridgeland, MS 39157 Phone: 601-790-7711 Fax: 601-790-7712 |