Kellee A Etghayi, APRN in Jackson, TN - Medicare Nurse Practitioner

Kellee A Etghayi, APRN is a medicare enrolled "Nurse Practitioner" in Jackson, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jackson Clinic Pa and her current practice location is 145 Innovation Dr, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 422-0213.

Kellee A Etghayi is licensed to practice in Tennessee (license number 23140) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891225116.

Contact Information

	Kellee A Etghayi, APRN
	145 Innovation Dr, Jackson, TN 38305-3019
	(731) 422-0213
	(731) 660-8453

Map and Direction

Provider's Profile

Full Name	Kellee A Etghayi
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	145 Innovation Dr, Jackson, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellee A Etghayi graduated from nursing school in 2017

NPI Data:

NPI Number: 1891225116
Provider Enumeration Date: 06/19/2017
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 0042579526
Enrollment ID: I20180108001584

Medical Identifiers

Medical identifiers for Kellee A Etghayi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891225116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	23140 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Clinic Pa	2668376872	179

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. Kellee A Etghayi allows following entities to bill medicare on her behalf.

Entity Name	Jackson Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962

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. Kellee A Etghayi 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
Kellee A Etghayi, APRN Po Box 400, Jackson, TN 38302-0400 Ph: (731) 425-5752	Kellee A Etghayi, APRN 145 Innovation Dr, Jackson, TN 38305-3019 Ph: (731) 422-0213

Reviews and Comments

Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Amy K Lawrence, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Kirsten Siler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483

Kellee A Etghayi, APRN - Medicare Nurse Practitioner in Jackson, TN