Kevin Thomas Hartley, is a medicare enrolled "Nurse Practitioner - Family" physician in Florence, Kentucky. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Premier Pain Treatment Institute, Llc and his current practice location is
7000 Dixie Hwy, Florence, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 282-2024.
Kevin Thomas Hartley is licensed to practice in Kentucky (license number 3014140) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396375952.
Physician's Profile
| Full Name | Kevin Thomas Hartley |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 7000 Dixie Hwy, Florence, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Thomas Hartley graduated from medical school in 2019
NPI Data:
- NPI Number: 1396375952
- Provider Enumeration Date: 01/23/2020
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436588035
- Enrollment ID: I20200402001730
Medical Identifiers
Medical identifiers for Kevin Thomas Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396375952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 3014140 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014140 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Premier Pain Treatment Institute, Llc | 5092019281 | 10 |
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. Kevin Thomas Hartley allows following entities to bill medicare on his behalf.
| Entity Name | Premier Pain Treatment Institute, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083079941
PECOS PAC ID: 5092019281
Enrollment ID: O20160209001048 |
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| Entity Name | Elite Physical Medicine And Rehabilitation Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669963021
PECOS PAC ID: 3375972979
Enrollment ID: O20200402001601 |
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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. Kevin Thomas Hartley 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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Kevin Thomas Hartley,
7000 Dixie Hwy,
Florence, KY 41042-2010
Ph: (859) 282-2024 | Kevin Thomas Hartley,
7000 Dixie Hwy,
Florence, KY 41042-2010
Ph: (859) 282-2024 |
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