Hailey Puckett, in Winchester, TN - Medicare Nurse Practitioner

Hailey Puckett, is a medicare enrolled "Nurse Practitioner - Women's Health" in Winchester, Tennessee. Her current practice location is 155 Hospital Rd Ste C, Winchester, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 967-8258.

Hailey Puckett is licensed to practice in Tennessee (license number 34800) 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 1164295408.

Contact Information

	Hailey Puckett,
	155 Hospital Rd Ste C, Winchester, TN 37398-2495
	(931) 967-8258
	Not Available

Map and Direction

Provider's Profile

Full Name	Hailey Puckett
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	155 Hospital Rd Ste C, Winchester, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164295408
Provider Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 8820447477
Enrollment ID: I20231208000682

Medical Identifiers

Medical identifiers for Hailey Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164295408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	34800 (Tennessee)	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. Hailey Puckett allows following entities to bill medicare on her behalf.

Entity Name	Amg-southern Tennessee Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206

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. Hailey Puckett 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
Hailey Puckett, 1101 Whiteside Hill Rd, Wartrace, TN 37183-3030 Ph: (931) 224-6485	Hailey Puckett, 155 Hospital Rd Ste C, Winchester, TN 37398-2495 Ph: (931) 967-8258

Reviews and Comments

Nurse Practitioner Nurses in Winchester, TN

Sherry Barstad, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 568 Hospital Rd, Winchester, TN 37398 Phone: 931-962-3199
Lisa Renee Stone, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Decherd Blvd, Winchester, TN 37398 Phone: 931-313-1388 Fax: 931-313-1392
Kay Fearing, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2118 Cowan Hwy, Winchester, TN 37398 Phone: 931-962-4040
Erica Edwards, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 83 Memorial Dr, Winchester, TN 37398 Phone: 931-967-3966
Mrs. Brandy Denise Ballard, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 3rd Ave Se, Winchester, TN 37398 Phone: 931-392-4749 Fax: 931-967-0284
Dr. Bethany Robinson, DNP, PMHNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 1st Ave Sw Ste 202e, Winchester, TN 37398 Phone: 256-929-6188 Fax: 256-918-3555

Hailey Puckett, - Medicare Nurse Practitioner in Winchester, TN