Kathleen Suzan Street, DO - Medicare Obstetrics/gynecology in Jackson, MS

Kathleen Suzan Street, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Jackson, Mississippi. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Eastside Ob/gyn P.l.l.c. 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) 984-5339.

Kathleen Suzan Street is licensed to practice in Mississippi (license number T-2492) 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 1871880278.

Contact Information

Kathleen Suzan Street, DO
2500 N State St,
Jackson, MS 39216-4500
(601) 984-5339
Not Available



Physician's Profile

Full NameKathleen Suzan Street
GenderFemale
SpecialityObstetrics/gynecology
Experience13 Years
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Suzan Street attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2011
  NPI Data:
  • NPI Number: 1871880278
  • Provider Enumeration Date: 07/06/2011
  • Last Update Date: 07/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8123342193
  • Enrollment ID: I20160128001006

Medical Identifiers

Medical identifiers for Kathleen Suzan Street such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871880278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology T-2492 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital Fort SmithFort smith, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eastside Ob/gyn P.l.l.c.94361162175

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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. Kathleen Suzan Street allows following entities to bill medicare on her behalf.
Entity NameEastside Ob/gyn P.l.l.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396786042
PECOS PAC ID: 9436116217
Enrollment ID: O20041213001113

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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. Kathleen Suzan Street 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
Kathleen Suzan Street, DO
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5339
Kathleen Suzan Street, DO
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5339

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Obstetrics & Gynecology Doctors in Jackson, MS

Dr. Mary Kinney Lowe Corley, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5339    
Dr. Sarah Novotny, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Department Of Ob/gyn, Jackson, MS 39216
Phone: 601-984-5358    
Dr. Ashley Miller Canizaro, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 River Oaks Drive, Suite 310, Jackson, MS 39232
Phone: 601-932-5006    Fax: 601-932-4548
Elizabeth Kaitlyn Mize, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Department Of Obgyn, Jackson, MS 39216
Phone: 601-984-5338    Fax: 601-815-4112
Dr. Virginia A Jones, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 501 Marshall St, Ste 400, Jackson, MS 39202
Phone: 601-354-0869    Fax: 601-352-6521
Dr. William Cleland, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5373    Fax: 601-984-5476
Dr. William Garner Bush, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 River Oaks Dr, Suite 410, Jackson, MS 39232
Phone: 601-664-0111    Fax: 601-932-1308

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