Kelly Brister, MD - Medicare Surgical Oncology in Jackson, MS

Kelly Brister, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Jackson, Mississippi. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Surgical Oncology. 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 St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 815-1292.

Kelly Brister is licensed to practice in Mississippi (license number 27795) 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 1811381957.

Contact Information

Kelly Brister, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 815-1292
(601) 984-5110



Physician's Profile

Full NameKelly Brister
GenderFemale
SpecialitySurgical Oncology
Experience3 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:
  • Kelly Brister graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1811381957
  • Provider Enumeration Date: 03/26/2015
  • Last Update Date: 06/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466768759
  • Enrollment ID: I20210610001549

Medical Identifiers

Medical identifiers for Kelly Brister such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811381957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086X0206XSurgery - Surgical Oncology 27795 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital
Merit Health MadisonCanton, 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. Kelly Brister allows following entities to bill medicare on her 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. Kelly Brister 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
Kelly Brister, MD
504 Clinton Center Drive, Cbo - Suite 4300,
Clinton, MS 39056-5610

Ph: (601) 815-2005
Kelly Brister, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 815-1292

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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    
Colton Lott,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-1292    Fax: 601-984-5110

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