Kellan E Ashley, MD - Medicare Interventional Cardiology in Jackson, MS

Kellan E Ashley, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Jackson, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Interventional Cardiology. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 2500 N State Street, Cardiology, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5678.

Kellan E Ashley is licensed to practice in Mississippi (license number 18726) 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 1790714954.

Contact Information

Kellan E Ashley, MD
2500 N State Street, Cardiology,
Jackson, MS 39216-4500
(601) 984-5678
(601) 984-5638



Physician's Profile

Full NameKellan E Ashley
GenderFemale
SpecialityInterventional Cardiology
Experience22 Years
Location2500 N State Street, 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:
  • Kellan E Ashley attended and graduated from University Of Mississippi School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1790714954
  • Provider Enumeration Date: 07/01/2006
  • Last Update Date: 10/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9032113097
  • Enrollment ID: I20060905000427

Medical Identifiers

Medical identifiers for Kellan E Ashley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790714954NPI-NPPES
130850MedicaidAL
P01233203OtherMSRAILROAD MEDICARE
04034504MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 57.011859 (Ohio)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 18726 (Mississippi)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 33296 (Alabama)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 33296 (Alabama)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 18726 (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. Kellan E Ashley allows following entities to bill medicare on her behalf.
Entity NameWayne General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093930638
PECOS PAC ID: 2668457581
Enrollment ID: O20040623000865

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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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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. Kellan E Ashley 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
Kellan E Ashley, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-5678
Kellan E Ashley, MD
2500 N State Street, Cardiology,
Jackson, MS 39216-4500

Ph: (601) 984-5678

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Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 406 Briarwood Dr, Jackson, MS 39206
Phone: 601-991-1933    Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202
Phone: 601-352-2273    Fax: 601-714-3415
Jewelian Akbar Baig, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216
Phone: 601-200-4644    Fax: 601-200-4645
Jo P Deal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216
Phone: 601-368-3440    Fax: 601-368-3441
Caryl P. Sumrall, FNP
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2500 North State Street, Department Of Medicine/division Of General Internal Med, Jackson, MS 39216
Phone: 601-984-5660    
Meghan Alford Luter, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5532    
Tammy H Young, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1227 N State St, Ste 101, Jackson, MS 39202
Phone: 601-355-2485    Fax: 601-353-1463

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