Kailyn Slack, NP in Atlanta, GA - Medicare Nurse Practitioner

Kailyn Slack, NP is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. Her current practice location is 5185 Old National Hwy, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 763-9300.

Kailyn Slack is licensed to practice in Georgia (license number RN227754) 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 1962981126.

Contact Information

	Kailyn Slack, NP
	5185 Old National Hwy, Atlanta, GA 30349-3244
	(404) 763-9300
	Not Available

Map and Direction

Provider's Profile

Full Name	Kailyn Slack
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5185 Old National Hwy, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962981126
Provider Enumeration Date: 08/08/2018
Last Update Date: 10/03/2019

Medicare PECOS Information:

PECOS PAC ID: 4981958915
Enrollment ID: I20181111000000

Medical Identifiers

Medical identifiers for Kailyn Slack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962981126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN227754 (Georgia)	Primary
363LC0200X	Nurse Practitioner - Critical Care Medicine	RN22754 (Georgia)	Secondary
163WC0200X	Registered Nurse - Critical Care Medicine	RN227754 (Georgia)	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. Kailyn Slack allows following entities to bill medicare on her behalf.

Entity Name	Small Hospital Innovations
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220404000661

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20230105001168

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. Kailyn Slack 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
Kailyn Slack, NP 1205 Metropolitan Ave Se Apt 333, Atlanta, GA 30316-1987 Ph: (478) 396-1147	Kailyn Slack, NP 5185 Old National Hwy, Atlanta, GA 30349-3244 Ph: (404) 763-9300

Reviews and Comments

Nurse Practitioner Nurses in Atlanta, GA

Tracy Purcell Nicholas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Piedmont Hospital Transplant Services, Atlanta, GA 30309 Phone: 404-605-4602
Ashley Rae Gore, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 Collier Rd Nw, Suite 300, Atlanta, GA 30309 Phone: 404-605-2800 Fax: 404-351-5983
Mrs. Anne Compton Symbas, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw, Suite 680, Atlanta, GA 30318 Phone: 404-352-1730 Fax: 404-352-6907
Valerie S Webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Brittany Kathryn Suchanek, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-785-5252
Janika Montgomery, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Park Place Se, 5th Floor, Atlanta, GA 30303 Phone: 404-613-1205
Nicole Coolidge, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6330 Fax: 404-785-6266

Kailyn Slack, NP - Medicare Nurse Practitioner in Atlanta, GA