Kendra Lea Wiley, FNP in Lubbock, TX - Medicare Nurse Practitioner

Kendra Lea Wiley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. 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 Covenant Medical Group and her current practice location is 3506 21st St Ste 507, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 725-4805.

Kendra Lea Wiley is licensed to practice in Texas (license number AP135442) 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 1205347549.

Contact Information

	Kendra Lea Wiley, FNP
	3506 21st St Ste 507, Lubbock, TX 79410-1233
	(806) 725-4805
	(806) 723-7815

Map and Direction

Provider's Profile

Full Name	Kendra Lea Wiley
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3506 21st St Ste 507, Lubbock, Texas
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:

Kendra Lea Wiley graduated from nursing school in 2017

NPI Data:

NPI Number: 1205347549
Provider Enumeration Date: 10/13/2017
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5698032217
Enrollment ID: I20171206001220

Medical Identifiers

Medical identifiers for Kendra Lea Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205347549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP135442 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Covenant Medical Center	Lubbock, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Covenant Medical Group	6901889393	216

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. Kendra Lea Wiley allows following entities to bill medicare on her behalf.

Entity Name	Covenant Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563

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. Kendra Lea Wiley 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
Kendra Lea Wiley, FNP 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844	Kendra Lea Wiley, FNP 3506 21st St Ste 507, Lubbock, TX 79410-1233 Ph: (806) 725-4805

Reviews and Comments

Nurse Practitioner Nurses in Lubbock, TX

Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588
Gay Ann Tibbets, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1902 50th St, Lubbock, TX 79412 Phone: 806-771-1386 Fax: 806-771-1388
Kevin Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St Ste 440, Lubbock, TX 79415 Phone: 806-761-0535 Fax: 806-761-0534
Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Milwaukee Avenue, Lubbock, TX 79424 Phone: 806-761-0464 Fax: 806-698-6710
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880

Kendra Lea Wiley, FNP - Medicare Nurse Practitioner in Lubbock, TX