Kelly Brister, MD in Jackson, MS - Medicare Surgical Oncology

Kelly Brister, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Jackson, Mississippi. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Surgical Oncology. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center 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) 815-1292.

Kelly Brister is licensed to practice in Mississippi (license number 27795) 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 1811381957.

Contact Information

	Kelly Brister, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 815-1292
	(601) 984-5110

Map and Direction

Physician's Profile

Full Name	Kelly Brister
Gender	Female
Speciality	Surgical Oncology
Experience	3 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:

Kelly Brister graduated from medical school in 2021

NPI Data:

NPI Number: 1811381957
Provider Enumeration Date: 03/26/2015
Last Update Date: 06/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2466768759
Enrollment ID: I20210610001549

Medical Identifiers

Medical identifiers for Kelly Brister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811381957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086X0206X	Surgery - Surgical Oncology	27795 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Med Center	Jackson, MS	Hospital
Merit Health Madison	Canton, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	782

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. Kelly Brister allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Kelly Brister 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
Kelly Brister, MD 504 Clinton Center Drive, Cbo - Suite 4300, Clinton, MS 39056-5610 Ph: (601) 815-2005	Kelly Brister, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-1292

Reviews and Comments

Surgery Doctors in Jackson, MS

Dr. Wayne Shannon Orr Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5452 Fax: 601-815-3322
Ian Michael Brastauskas, Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Jacob M Folse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 Fax: 601-984-6962
Robert Eugene Schmieg Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-926-4978
Dr. Hal Gregory Fiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202 Phone: 601-944-1781 Fax: 601-353-0439
Pierre Edouard De Delva, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, University Of Mississippi Medical Center, Jackson, MS 39216 Phone: 601-984-5170
Dr. John Magruder Sullivan Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000

Kelly Brister, MD - Medicare Surgical Oncology in Jackson, MS