Mrs Kylie Danielle Blackett, NP - Medicare Family Medicine in Mount Juliet, TN

Mrs Kylie Danielle Blackett, NP is a medicare enrolled "Family Medicine" physician in Mount Juliet, Tennessee. Her current practice location is 3500 N Mount Juliet Rd Ste 201, Mount Juliet, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 758-5672.

Mrs Kylie Danielle Blackett is licensed to practice in Tennessee (license number 31898) 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 1508505983.

Contact Information

Mrs Kylie Danielle Blackett, NP
3500 N Mount Juliet Rd Ste 201,
Mount Juliet, TN 37122-3059
(615) 758-5672
Not Available

Map and Direction




Physician's Profile

Full NameMrs Kylie Danielle Blackett
GenderFemale
SpecialityFamily Medicine
Location3500 N Mount Juliet Rd Ste 201, Mount Juliet, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508505983
  • Provider Enumeration Date: 06/02/2022
  • Last Update Date: 06/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284091513
  • Enrollment ID: I20230601001166

Medical Identifiers

Medical identifiers for Mrs Kylie Danielle Blackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508505983NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 31898 (Tennessee)Primary
163W00000XRegistered Nurse 191152 (Tennessee)Secondary

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 Kylie Danielle Blackett allows following entities to bill medicare on her behalf.
Entity NameWest Wilson Family Practice Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598779837
PECOS PAC ID: 1355319435
Enrollment ID: O20040917000558

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 Kylie Danielle Blackett 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
Mrs Kylie Danielle Blackett, NP
3500 N Mount Juliet Rd Ste 201,
Mount Juliet, TN 37122-3059

Ph: (615) 975-9543
Mrs Kylie Danielle Blackett, NP
3500 N Mount Juliet Rd Ste 201,
Mount Juliet, TN 37122-3059

Ph: (615) 758-5672

Reviews and Comments


Family Medicine Doctors in Mount Juliet, TN

Mrs. Katherine W Jones, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2025 N Mount Juliet Rd, Suite 120, Mount Juliet, TN 37122
Phone: 615-773-2712    Fax: 615-773-2707
Dr. Cameron A Shearer Sr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 N Mount Juliet Rd, Mount Juliet, TN 37122
Phone: 615-758-5672    Fax: 615-758-5609
Dr. Marthe-sophie Lagueux, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 N Mount Juliet Rd, Mount Juliet, TN 37122
Phone: 615-758-5672    Fax: 615-758-5609
James Courtney Wilson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 325 Old Pleasant Grove Rd, Mount Juliet, TN 37122
Phone: 629-255-2494    Fax: 629-255-4264
Dr. Bernard Pare', M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 N Mount Juliet Rd, Mount Juliet, TN 37122
Phone: 615-758-5672    Fax: 615-758-5609

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.