James Packer, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Louisville, Kentucky. His current practice location is
4001 Kresge Way Ste 236, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 893-7372.
James Packer is licensed to practice in Kentucky (license number 3016629) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730835968.
Physician's Profile
Full Name | James Packer |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 4001 Kresge Way Ste 236, Louisville, Kentucky |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730835968
- Provider Enumeration Date: 02/25/2022
- Last Update Date: 06/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113303371
- Enrollment ID: I20230109000242
Medical Identifiers
Medical identifiers for James Packer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730835968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 3016629 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3016629 (Kentucky) | 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. James Packer allows following entities to bill medicare on his behalf.
Entity Name | Kiosk Medicine Kentucky Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127 |
---|
Entity Name | Kentucky Medical Specialists Psc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1295090884 PECOS PAC ID: 3678719648 Enrollment ID: O20130417000378 |
---|
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. James Packer 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 |
James Packer, APRN 209 Club Oak Ct, Louisville, KY 40223-2637 Ph: (502) 436-4047 | James Packer, APRN 4001 Kresge Way Ste 236, Louisville, KY 40207-4640 Ph: (502) 893-7372 |
Reviews and Comments