Keneisha Dean, in Canton, MS - Medicare Family Medicine

Keneisha Dean, is a medicare enrolled "Family Medicine" physician in Canton, Mississippi. Her current practice location is 1668 W Peace St, Canton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 859-5213.

Keneisha Dean is licensed to practice in Mississippi (license number 903945) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295344224.

Contact Information

	Keneisha Dean,
	1668 W Peace St, Canton, MS 39046-5332
	(662) 859-5213
	Not Available

Map and Direction

Physician's Profile

Full Name	Keneisha Dean
Gender	Female
Speciality	Family Medicine
Location	1668 W Peace St, Canton, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295344224
Provider Enumeration Date: 07/27/2020
Last Update Date: 07/27/2020

Medicare PECOS Information:

PECOS PAC ID: 3274952205
Enrollment ID: I20200924002058

Medical Identifiers

Medical identifiers for Keneisha Dean such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295344224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	903945 (Mississippi)	Primary

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. Keneisha Dean allows following entities to bill medicare on her behalf.

Entity Name	Central Mississippi Health Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730120502 PECOS PAC ID: 2961398029 Enrollment ID: O20040225000632

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. Keneisha Dean 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
Keneisha Dean, 416 Forest Ln, Ridgeland, MS 39157-4134 Ph: (662) 299-9517	Keneisha Dean, 1668 W Peace St, Canton, MS 39046-5332 Ph: (662) 859-5213

Reviews and Comments

Family Medicine Doctors in Canton, MS

Ms. Samantha Smith, AGNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 122 E Academy St, Canton, MS 39046 Phone: 601-859-8992 Fax: 601-859-5573
Dr. Teresa Louise Mcketney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-9477
Allan Percy Durfey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1421 E Peace St, Canton, MS 39046 Phone: 601-855-5131
Dr. Colette Marie Scott, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1668 West Peace Street, Canton, MS 39046 Phone: 662-746-0907
Dr. James Andrew Jefferson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771
Dr. Lawrence Madison Sutton Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213

Keneisha Dean, - Medicare Family Medicine in Canton, MS