Kiley Faircloth, in Perry, FL - Medicare Nurse Practitioner

Kiley Faircloth, is a medicare enrolled "Nurse Practitioner - Family" in Perry, Florida. Her current practice location is 4019 Sid Hendry Rd, Perry, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 843-3898.

Kiley Faircloth is licensed to practice in Florida (license number APRN11025175) 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 1033810221.

Contact Information

	Kiley Faircloth,
	4019 Sid Hendry Rd, Perry, FL 32347-9304
	(850) 843-3898
	Not Available

Map and Direction

Provider's Profile

Full Name	Kiley Faircloth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4019 Sid Hendry Rd, Perry, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033810221
Provider Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 5991161861
Enrollment ID: I20230518001919

Medical Identifiers

Medical identifiers for Kiley Faircloth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033810221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11025175 (Florida)	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. Kiley Faircloth allows following entities to bill medicare on her behalf.

Entity Name	Simedhealth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639680127 PECOS PAC ID: 6608137054 Enrollment ID: O20180227000525

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. Kiley Faircloth 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
Kiley Faircloth, 4019 Sid Hendry Rd, Perry, FL 32347-9304 Ph: (850) 843-3898	Kiley Faircloth, 4019 Sid Hendry Rd, Perry, FL 32347-9304 Ph: (850) 843-3898

Reviews and Comments

Nurse Practitioner Nurses in Perry, FL

Mrs. Jessica Anne Raines, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1702 S Jefferson St, Perry, FL 32348 Phone: 855-577-5437 Fax: 850-838-2140
Jenna I Culpepper, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1702 S Jefferson St, Perry, FL 32348 Phone: 855-577-5437 Fax: 850-838-2140
Terri Beth Ellison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 S Byron Butler Pkwy, Perry, FL 32348 Phone: 850-838-2030 Fax: 850-838-2040
Nunnie Emery, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 E Ash St, Perry, FL 32347 Phone: 850-584-0600 Fax: 850-584-0602
Mrs. Dulcie Yelverton, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1209 N Center St, Perry, FL 32347 Phone: 850-843-1834
Elisa Webb Murphy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Ash St, Perry, FL 32347 Phone: 850-584-3278

Kiley Faircloth, - Medicare Nurse Practitioner in Perry, FL