Ms Kristi Brooke Conoly, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Tallahassee, Florida. Her current practice location is
2634 Capital Cir Ne, Tallahassee, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 523-3333.
Ms Kristi Brooke Conoly is licensed to practice in Florida (license number 11014142) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679145353.
Healthcare Provider's Profile
| Full Name | Ms Kristi Brooke Conoly |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 2634 Capital Cir Ne, Tallahassee, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679145353
- Provider Enumeration Date: 07/13/2021
- Last Update Date: 07/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 5991109019
- Enrollment ID: I20210811000438
Medical Identifiers
Medical identifiers for Ms Kristi Brooke Conoly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679145353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 11014142 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11014142 (Florida) | Primary |
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. Ms Kristi Brooke Conoly allows following entities to bill medicare on her behalf.
| Entity Name | Florida Therapy Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972548022
PECOS PAC ID: 9133022577
Enrollment ID: O20040209000800 |
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| Entity Name | Apalachee Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548360993
PECOS PAC ID: 3577556604
Enrollment ID: O20040405001882 |
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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. Ms Kristi Brooke Conoly 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 Address | Practice Location Address |
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Ms Kristi Brooke Conoly, APRN
1590 Faceville Attapulgus Rd,
Bainbridge, GA 39819-6669
Ph: (229) 400-2625 | Ms Kristi Brooke Conoly, APRN
2634 Capital Cir Ne,
Tallahassee, FL 32308-4106
Ph: (850) 523-3333 |
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