Kaylie Ann Kostyurenko, APN in Little Rock, AR

Kaylie Ann Kostyurenko, APN is a medicare enrolled "Nurse Practitioner - Family" in Little Rock, Arkansas. Her current practice location is 800 Fair Park Blvd, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 404-8007.

Kaylie Ann Kostyurenko is licensed to practice in Arkansas (license number 226618) 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 1093585275.

Contact Information

	Kaylie Ann Kostyurenko, APN
	800 Fair Park Blvd, Little Rock, AR 72204-1720
	(501) 404-8007
	(501) 904-3620

Map and Direction

Provider's Profile

Full Name	Kaylie Ann Kostyurenko
Gender	Female
Speciality	Nurse Practitioner - Family
Location	800 Fair Park Blvd, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093585275
Provider Enumeration Date: 01/08/2024
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0840634317
Enrollment ID: I20240223000717

Medical Identifiers

Medical identifiers for Kaylie Ann Kostyurenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093585275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	226618 (Arkansas)	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. Kaylie Ann Kostyurenko allows following entities to bill medicare on her behalf.

Entity Name	Orthoarkansas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952336869 PECOS PAC ID: 1456256031 Enrollment ID: O20031205000490

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. Kaylie Ann Kostyurenko 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
Kaylie Ann Kostyurenko, APN 800 Fair Park Blvd, Little Rock, AR 72204-1720 Ph: (501) 404-8007	Kaylie Ann Kostyurenko, APN 800 Fair Park Blvd, Little Rock, AR 72204-1720 Ph: (501) 404-8007

Reviews and Comments

Nurse Practitioner Nurses in Little Rock, AR

Tammie R Glover-brockinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-7000
Rachael Nichole Daugherty, APN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205 Phone: 501-552-4777 Fax: 501-552-4482
Lauren Searcy, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-364-1100
Mrs. Michelle Parish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 W Markham St, Little Rock, AR 72205 Phone: 501-227-0184
Ashley Benton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Chenal Heights Dr, Little Rock, AR 72223 Phone: 501-830-2271
Rachel Sloan, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Elizabeth Fiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10025 W Markham St Ste 210, Little Rock, AR 72205 Phone: 501-663-5473 Fax: 501-801-1816

Kaylie Ann Kostyurenko, APN - Medicare Nurse Practitioner in Little Rock, AR