Kelsie Rae Chisolm, in Meridian, MS - Medicare Nurse Practitioner

Kelsie Rae Chisolm, is a medicare enrolled "Nurse Practitioner" in Meridian, Mississippi. Her current practice location is 2124 14th St, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 553-6000.

Kelsie Rae Chisolm is licensed to practice in Mississippi (license number 906102) 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 1982389052.

Contact Information

	Kelsie Rae Chisolm,
	2124 14th St, Meridian, MS 39301-4040
	(601) 553-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsie Rae Chisolm
Gender	Female
Speciality	Nurse Practitioner
Location	2124 14th St, Meridian, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982389052
Provider Enumeration Date: 06/16/2023
Last Update Date: 07/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6002270824
Enrollment ID: I20230913000673

Medical Identifiers

Medical identifiers for Kelsie Rae Chisolm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982389052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	906102 (Mississippi)	Primary
163W00000X	Registered Nurse	897243 (Mississippi)	Secondary

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. Kelsie Rae Chisolm allows following entities to bill medicare on her behalf.

Entity Name	Laird Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304

Entity Name	Scott Regional Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639367188 PECOS PAC ID: 0648366260 Enrollment ID: O20080423000448

Entity Name	Hospitalist Services Of Meridian Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639629777 PECOS PAC ID: 3274818042 Enrollment ID: O20170316002383

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. Kelsie Rae Chisolm 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
Kelsie Rae Chisolm, 15043 Highway 503, Decatur, MS 39327-9680 Ph: (601) 479-5890	Kelsie Rae Chisolm, 2124 14th St, Meridian, MS 39301-4040 Ph: (601) 553-6000

Reviews and Comments

Nurse Practitioner Nurses in Meridian, MS

Amanda Danielle Simpson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700
Miss Mattie P Hopson, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118
Jennifer Lynn Webb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 329 Jeffery Acres Rd, Meridian, MS 39301 Phone: 601-527-6584
Gail Beard, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000
Mrs. Celeste M Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Hills St Apt 607, #607, Meridian, MS 39305 Phone: 601-282-5429
Mrs. Karen Faye Deese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 20th Ave Ste D, Meridian, MS 39301 Phone: 601-703-8450 Fax: 601-703-8459
Patti Suzanne Weaver, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-4065 Fax: 601-703-3050

Kelsie Rae Chisolm, - Medicare Nurse Practitioner in Meridian, MS