Kenyatta Dacres, - Medicare Nurse Practitioner in Jacksonville, FL

Kenyatta Dacres, is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Florida Institute Of Pain Medicine Llc and her current practice location is 4510 Rainer Rd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 535-1977.

Kenyatta Dacres is licensed to practice in Florida (license number 11012249) 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 1356922850.

Contact Information

Kenyatta Dacres,
4510 Rainer Rd,
Jacksonville, FL 32210-7058
(904) 535-1977
Not Available

Map and Direction




Provider's Profile

Full NameKenyatta Dacres
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location4510 Rainer Rd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenyatta Dacres graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1356922850
  • Provider Enumeration Date: 04/16/2021
  • Last Update Date: 04/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0244634640
  • Enrollment ID: I20210806002221

Medical Identifiers

Medical identifiers for Kenyatta Dacres such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356922850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11012249 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Institute Of Pain Medicine Llc438576968617

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. Kenyatta Dacres allows following entities to bill medicare on her behalf.
Entity NameShc Medical Partners Of Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861677064
PECOS PAC ID: 7618046517
Enrollment ID: O20080519000422
Entity NameFlorida Institute Of Pain Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194056283
PECOS PAC ID: 4385769686
Enrollment ID: O20181127000946

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. Kenyatta Dacres 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 AddressPractice Location Address
Kenyatta Dacres,
4510 Rainer Rd,
Jacksonville, FL 32210-7058

Ph: (904) 535-1977
Kenyatta Dacres,
4510 Rainer Rd,
Jacksonville, FL 32210-7058

Ph: (904) 535-1977

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.