Keith Derek Thorne, MD - Medicare Cardiovascular Disease (cardiology) in Jackson, MS

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Keith Derek Thorne, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Medical Foundation Of Central Mississippi Inc and his current practice location is 501 Marshall St Ste 104, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 969-6404.

Keith Derek Thorne is licensed to practice in Mississippi (license number 17941) 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 1467559476.

Contact Information

Keith Derek Thorne, MD
501 Marshall St Ste 104,
Jackson, MS 39202-1663
(601) 969-6404
(601) 973-4541

Map and Direction




Physician's Profile

Full NameKeith Derek Thorne
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience23 Years
Location501 Marshall St Ste 104, Jackson, Mississippi
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:
  • Keith Derek Thorne attended and graduated from University Of Mississippi School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1467559476
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 04/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8729171905
  • Enrollment ID: I20070904000412

Medical Identifiers

Medical identifiers for Keith Derek Thorne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467559476NPI-NPPES
09775722MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 17941 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Foundation Of Central Mississippi Inc1153216411236

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. Keith Derek Thorne allows following entities to bill medicare on his behalf.
Entity NameMedical Foundation Of Central Mississippi Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992774814
PECOS PAC ID: 1153216411
Enrollment ID: O20040217000380
Entity NameSt. Dominic Jackson Memorial
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235173691
PECOS PAC ID: 4385531847
Enrollment ID: O20040301000818
Entity NameJackson Heart Clinic. P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659318558
PECOS PAC ID: 0547204091
Enrollment ID: O20050615000346
Entity NameBaptist Medical Center - Yazoo, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619918075
PECOS PAC ID: 5799850376
Enrollment ID: O20080815000433
Entity NameSt. Dominic Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821
Entity NameMississippi Baptist Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467589556
PECOS PAC ID: 9234026600
Enrollment ID: O20110707000181

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. Keith Derek Thorne 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
Keith Derek Thorne, MD
965 Ridge Lake Blvd Ste 103,
Memphis, TN 38120-9446

Ph: (901) 227-3255		Keith Derek Thorne, MD
501 Marshall St Ste 104,
Jackson, MS 39202-1663

Ph: (601) 969-6404

Reviews and Comments


Internal Medicine Doctors in Jackson, MS

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Samuel Hammond Love, M.D.
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Meghan Alford Luter, M.D.
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Dr. Taylor Brooke Winstead, MD, PHARMD
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Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    

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.