Kaleise Tennille, APRN in Tifton, GA - Medicare Nurse Practitioner

Kaleise Tennille, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tifton, Georgia. Her current practice location is 2002 Tift Ave N, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 463-7071.

Kaleise Tennille is licensed to practice in Georgia (license number 207468) 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 1700424496.

Contact Information

	Kaleise Tennille, APRN
	2002 Tift Ave N, Tifton, GA 31794-1824
	(229) 463-7071
	(833) 606-0577

Map and Direction

Provider's Profile

Full Name	Kaleise Tennille
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2002 Tift Ave N, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700424496
Provider Enumeration Date: 12/13/2019
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 1254716210
Enrollment ID: I20220913000526

Medical Identifiers

Medical identifiers for Kaleise Tennille such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700424496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN207468 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	207468 (Georgia)	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. Kaleise Tennille allows following entities to bill medicare on her behalf.

Entity Name	Access Medical Clinic Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730793639 PECOS PAC ID: 2961814694 Enrollment ID: O20201222000083

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. Kaleise Tennille 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
Kaleise Tennille, APRN 4196 Highway 62 412, Hardy, AR 72542-8002 Ph: () -	Kaleise Tennille, APRN 2002 Tift Ave N, Tifton, GA 31794-1824 Ph: (229) 463-7071

Reviews and Comments

Nurse Practitioner Nurses in Tifton, GA

Mrs. Lisa Dian Smith, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Lee Ave, Tifton, GA 31794 Phone: 229-386-1528 Fax: 229-388-0556
Ana Alicia Gomez Nova, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 Phone: 229-445-3509
Callie Haynes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1622 Madison Ave, Tifton, GA 31794 Phone: 229-387-8061
Hannah Janleigh Vickers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1948 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-391-3500 Fax: 229-391-3499
Rachel Ware Holloway, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100
David Ryan Atkins, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Dola Tejaskumar Patel, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2301 Fax: 229-386-3221

Kaleise Tennille, APRN - Medicare Nurse Practitioner in Tifton, GA