Kelly Taylor Treadway, FNP in Mcminnville, TN

Kelly Taylor Treadway, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mcminnville, Tennessee. Her current practice location is 549 Collinwood Dr, Mcminnville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 619-3336.

Kelly Taylor Treadway is licensed to practice in Tennessee (license number 37314) 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 1316773419.

Contact Information

	Kelly Taylor Treadway, FNP
	549 Collinwood Dr, Mcminnville, TN 37110-4871
	(931) 619-3336
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Taylor Treadway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	549 Collinwood Dr, Mcminnville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316773419
Provider Enumeration Date: 09/13/2024
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 5395270144
Enrollment ID: I20241203001529

Medical Identifiers

Medical identifiers for Kelly Taylor Treadway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316773419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	37314 (Tennessee)	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. Kelly Taylor Treadway allows following entities to bill medicare on her behalf.

Entity Name	Ipc Pac Healthcare Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541

Entity Name	Nv Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263

Entity Name	Cs Pacs 3 Southeast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761

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. Kelly Taylor Treadway 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
Kelly Taylor Treadway, FNP 549 Collinwood Dr, Mcminnville, TN 37110-4871 Ph: (931) 619-3336	Kelly Taylor Treadway, FNP 549 Collinwood Dr, Mcminnville, TN 37110-4871 Ph: (931) 619-3336

Reviews and Comments

Nurse Practitioner Nurses in Mcminnville, TN

Haley M Hutchison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Omni Dr Ste 1, Mcminnville, TN 37110 Phone: 931-815-8800 Fax: 931-815-8808
Tiffany Gannon, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Health Way Ste 2, Mcminnville, TN 37110 Phone: 931-473-4214 Fax: 931-473-0666
Shauna Samuel, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1514 Sparta St, Mcminnville, TN 37110 Phone: 931-473-8400 Fax: 931-473-2835
Amy Lynne Rice, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1559 Sparta St, Mcminnville, TN 37110 Phone: 615-396-5822
Christopher Jenkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1514 Sparta St, Mcminnville, TN 37110 Phone: 931-473-8400 Fax: 931-473-6667
Jennifer C Dyer, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Health Way Ste 1, Mcminnville, TN 37110 Phone: 931-473-5394 Fax: 931-473-5865
Melinda R Harper, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 E Main St, Mcminnville, TN 37110 Phone: 931-815-5437 Fax: 931-507-5440

Kelly Taylor Treadway, FNP - Medicare Nurse Practitioner in Mcminnville, TN