Canon Jade Beissel, MD - Medicare Nephrology in Grenada, MS

Canon Jade Beissel, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Grenada, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Delta Hills Nephrology Associates, Tallahatchie General Hospital, State Of Mississippi - University Of Mississippi Medical Center, Grenada Physician Services, Llc and his current practice location is 35 W Monroe St, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 226-8229.

Canon Jade Beissel is licensed to practice in Mississippi (license number 16518) 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 1154483394.

Contact Information

Canon Jade Beissel, MD
35 W Monroe St,
Grenada, MS 38901-5222
(662) 226-8229
(662) 226-3300



Physician's Profile

Full NameCanon Jade Beissel
GenderMale
SpecialityNephrology
Experience26 Years
Location35 W Monroe St, Grenada, 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:
  • Canon Jade Beissel attended and graduated from University Of Mississippi School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1154483394
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3274604376
  • Enrollment ID: I20080617000689

Medical Identifiers

Medical identifiers for Canon Jade Beissel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154483394NPI-NPPES
06050013MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 16518 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rcg WinonaWinona, MSDialysis facility
Rcg GrenadaGrenada, MSDialysis facility
Isd Renal IncLexington, MSDialysis facility
University Of Mississippi Medical Center- GrenadaGrenada, MSHospital
Greenwood Leflore HospitalGreenwood, MSHospital
Tallahatchie Critical Access HospitalCharleston, MSHospital
Holmes County Hospital And ClinicsLexington, MSHospital
Tyler Holmes Memorial Hospital CahWinona, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Delta Hills Nephrology Associates09412485793
Tallahatchie General Hospital105220809717
State Of Mississippi - University Of Mississippi Medical Center1850293036804
Grenada Physician Services, Llc428496577313

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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. Canon Jade Beissel allows following entities to bill medicare on his behalf.
Entity NameTallahatchie General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679733497
PECOS PAC ID: 1052208097
Enrollment ID: O20040303000646

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Entity NameDelta Hills Nephrology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841222437
PECOS PAC ID: 0941248579
Enrollment ID: O20050422000819

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Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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Entity NameGrenada Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932762721
PECOS PAC ID: 4284965773
Enrollment ID: O20191015001194

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Entity NameDelta Hills Nephrology Clinics Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811764475
PECOS PAC ID: 4486098555
Enrollment ID: O20240216000527

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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. Canon Jade Beissel 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
Canon Jade Beissel, MD
Po Box 1041,
Grenada, MS 38902-1041

Ph: (662) 226-9866
Canon Jade Beissel, MD
35 W Monroe St,
Grenada, MS 38901-5222

Ph: (662) 226-8229

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Internal Medicine Doctors in Grenada, MS

Joseph Frank Roberts, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1117 Sunset Dr, Suite 101, Grenada, MS 38901
Phone: 662-226-1168    Fax: 662-226-1116
Dr. John Edward Seibel Jr., MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Sunset Dr, Ste W, Grenada, MS 38901
Phone: 901-767-3123    Fax: 901-767-3884
Mrs. Amanda L Wiltshire, AGNP-C
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1300 Sunset Dr Ste A, Grenada, MS 38901
Phone: 662-226-1646    Fax: 662-227-1599
Joseph S Messina Jr., MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Sunset Drive, Suite A, Grenada, MS 38901
Phone: 662-226-1646    Fax: 662-226-1646
Dr. Justice Aaron Gondwe, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 965 J K Avent Dr, Suite 106, Grenada, MS 38901
Phone: 662-227-6450    Fax: 662-227-6452

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