Mrs Kaley Jo Azar, ARNP is a medicare enrolled "Nurse Practitioner" physician in Jacksonville, Florida. Her current practice location is
807 Childrens Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 697-3600.
Mrs Kaley Jo Azar is licensed to practice in Florida (license number 3406242) 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 1437583572.
Physician's Profile
Full Name | Mrs Kaley Jo Azar |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 807 Childrens Way, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437583572
- Provider Enumeration Date: 08/26/2013
- Last Update Date: 10/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 8224263512
- Enrollment ID: I20131022000885
Medical Identifiers
Medical identifiers for Mrs Kaley Jo Azar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437583572 | NPI | - | NPPES |
13815099 | Other | FL | CAQH |
009881100 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | ARNP3406242 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 3406242 (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. Mrs Kaley Jo Azar allows following entities to bill medicare on her behalf.
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
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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. Mrs Kaley Jo Azar 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 |
Mrs Kaley Jo Azar, ARNP 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4127 | Mrs Kaley Jo Azar, ARNP 807 Childrens Way, Jacksonville, FL 32207 Ph: (904) 697-3600 |
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