Kayla Dill Wise, NP in Indian Trail, NC - Medicare Nurse Practitioner

Kayla Dill Wise, NP is a medicare enrolled "Nurse Practitioner" in Indian Trail, North Carolina. Her current practice location is 6030 W Highway 74, Ste D, Indian Trail, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 246-2800.

Kayla Dill Wise is licensed to practice in North Carolina (license number 5015142) 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 1568085066.

Contact Information

	Kayla Dill Wise, NP
	6030 W Highway 74, Ste D, Indian Trail, NC 28079-3468
	(704) 246-2800
	Not Available

Map and Direction

Provider's Profile

Full Name	Kayla Dill Wise
Gender	Female
Speciality	Nurse Practitioner
Location	6030 W Highway 74, Indian Trail, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568085066
Provider Enumeration Date: 05/19/2020
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4688055353
Enrollment ID: I20220713001717

Medical Identifiers

Medical identifiers for Kayla Dill Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568085066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	5015142 (North Carolina)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	5015142 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5015142 (North Carolina)	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. Kayla Dill Wise allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

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. Kayla Dill Wise 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
Kayla Dill Wise, NP Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Kayla Dill Wise, NP 6030 W Highway 74, Ste D, Indian Trail, NC 28079-3468 Ph: (704) 246-2800

Reviews and Comments

Nurse Practitioner Nurses in Indian Trail, NC

Felicia Patterson Washington, DNP-C,FNP-C,PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Associate Ln Ste B3, Indian Trail, NC 28079 Phone: 704-893-5022 Fax: 888-326-7703
Lisbeth Davila Mijangos, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4503 Old Monroe Rd, Indian Trail, NC 28079 Phone: 980-993-7100
Tina Lea Lovings, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4503 Old Monroe Rd, Indian Trail, NC 28079 Phone: 980-993-7100
Robyn E Gonzales, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4503 Old Monroe Rd, Indian Trail, NC 28079 Phone: 980-993-7100
Marleen Prychodko Traywick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6066 W Highway 74, Indian Trail, NC 28079 Phone: 980-993-7150
Mr. James Paul Robson Jr., N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1480 Wesley Chapel Rd, Indian Trail, NC 28079 Phone: 704-316-3616 Fax: 704-316-1199
Dr. Nancy Viola James, A-GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1480 Wesley Chapel Rd, Indian Trail, NC 28079 Phone: 704-316-3616 Fax: 704-316-1199

Kayla Dill Wise, NP - Medicare Nurse Practitioner in Indian Trail, NC