Carson Kisner, MD - Medicare Interventional Radiology in Jackson, TN

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Carson Kisner, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Jackson, Tennessee. He went to University Of Mississippi School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Jackson Radiology Associates Pa and his current practice location is 60 Physicians Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 240-1747.

Carson Kisner is licensed to practice in Tennessee (license number 60769) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235558537.

Contact Information

Carson Kisner, MD
60 Physicians Dr,
Jackson, TN 38305-2070
(731) 240-1747
(731) 240-1755

Map and Direction




Physician's Profile

Full NameCarson Kisner
GenderMale
SpecialityInterventional Radiology
Experience10 Years
Location60 Physicians Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carson Kisner attended and graduated from University Of Mississippi School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1235558537
  • Provider Enumeration Date: 04/15/2014
  • Last Update Date: 07/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052615556
  • Enrollment ID: I20200710001482

Medical Identifiers

Medical identifiers for Carson Kisner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235558537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 60769 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital
Volunteer Community HospitalMartin, TNHospital
Milan General HospitalMilan, TNHospital
Camden General HospitalCamden, TNHospital
Dyersburg Regional Medical CenterDyersburg, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jackson Radiology Associates Pa630589323127

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. Carson Kisner allows following entities to bill medicare on his behalf.
Entity NameJackson Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285629386
PECOS PAC ID: 2668376872
Enrollment ID: O20040318000962
Entity NameJackson Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699700716
PECOS PAC ID: 6305893231
Enrollment ID: O20050404000399

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. Carson Kisner 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
Carson Kisner, MD
60 Physicians Dr,
Jackson, TN 38305-2070

Ph: (731) 240-1747		Carson Kisner, MD
60 Physicians Dr,
Jackson, TN 38305-2070

Ph: (731) 240-1747

Reviews and Comments


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Dr. Allen L Schlamp, M.D.
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Dr. James Lee Ellis, M.D.
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Mr. Adam Lee Summerlin, M.D.
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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.