Dr Kenneth Dylan Vick, MD - Medicare General Surgery in Jackson, MS

Dr Kenneth Dylan Vick, MD is a medicare enrolled "Surgery" physician in Jackson, Mississippi. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-1800.

Dr Kenneth Dylan Vick is licensed to practice in Mississippi (license number 18940) 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 1336167725.

Contact Information

Dr Kenneth Dylan Vick, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 815-1800
Not Available



Physician's Profile

Full NameDr Kenneth Dylan Vick
GenderMale
SpecialityGeneral Surgery
Experience24 Years
Location2500 N State St, 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:
  • Dr Kenneth Dylan Vick attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2000
  NPI Data:
  • NPI Number: 1336167725
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 09/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7113959321
  • Enrollment ID: I20050908000911

Medical Identifiers

Medical identifiers for Dr Kenneth Dylan Vick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336167725NPI-NPPES
P01198277OtherMSRAILROAD MEDICARE PTAN
01220266MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 18940 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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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. Dr Kenneth Dylan Vick allows following entities to bill medicare on his behalf.
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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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. Dr Kenneth Dylan Vick 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
Dr Kenneth Dylan Vick, MD
301 Saint Ives Dr,
Madison, MS 39110-7183

Ph: (601) 853-8769
Dr Kenneth Dylan Vick, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 815-1800

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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
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    
Dr. Carl Randle Voyles, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 501 Marshall St, Suite 500, Jackson, MS 39202
Phone: 601-948-1411    Fax: 601-948-0090

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