Kathleen Suzan Street, DO in Jackson, MS - Medicare Obstetrics/gynecology

Kathleen Suzan Street, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Jackson, Mississippi. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2011 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Eastside Ob/gyn P.l.l.c. and her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5339.

Kathleen Suzan Street is licensed to practice in Mississippi (license number T-2492) 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 1871880278.

Contact Information

	Kathleen Suzan Street, DO
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-5339
	Not Available

Map and Direction

Physician's Profile

Full Name	Kathleen Suzan Street
Gender	Female
Speciality	Obstetrics/gynecology
Experience	14 Years
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Suzan Street attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2011

NPI Data:

NPI Number: 1871880278
Provider Enumeration Date: 07/06/2011
Last Update Date: 07/06/2011

Medicare PECOS Information:

PECOS PAC ID: 8123342193
Enrollment ID: I20160128001006

Medical Identifiers

Medical identifiers for Kathleen Suzan Street such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871880278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	T-2492 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Fort Smith	Fort smith, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eastside Ob/gyn P.l.l.c.	9436116217	5

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. Kathleen Suzan Street allows following entities to bill medicare on her behalf.

Entity Name	Eastside Ob/gyn P.l.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396786042 PECOS PAC ID: 9436116217 Enrollment ID: O20041213001113

Entity Name	Mercy Clinic Fort Smith Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789

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. Kathleen Suzan Street 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 Address	Practice Location Address
Kathleen Suzan Street, DO 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5339	Kathleen Suzan Street, DO 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5339

Reviews and Comments

Obstetrics & Gynecology Doctors in Jackson, MS

Dr. Mary Kinney Lowe Corley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5339
Dr. Sarah Novotny, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Ob/gyn, Jackson, MS 39216 Phone: 601-984-5358
Dr. Ashley Miller Canizaro, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1020 River Oaks Drive, Suite 310, Jackson, MS 39232 Phone: 601-932-5006 Fax: 601-932-4548
Elizabeth Kaitlyn Mize, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Obgyn, Jackson, MS 39216 Phone: 601-984-5338 Fax: 601-815-4112
Dr. Virginia A Jones, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 501 Marshall St, Ste 400, Jackson, MS 39202 Phone: 601-354-0869 Fax: 601-352-6521
Dr. William Cleland, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5373 Fax: 601-984-5476
Dr. William Garner Bush, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1020 River Oaks Dr, Suite 410, Jackson, MS 39232 Phone: 601-664-0111 Fax: 601-932-1308

Kathleen Suzan Street, DO - Medicare Obstetrics/gynecology in Jackson, MS