Kira Lee-lin Gridley, FNP - Medicare Nurse Practitioner in Fayetteville, NY

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Kira Lee-lin Gridley, FNP is a medicare enrolled "Nurse Practitioner" in Fayetteville, New York. Her current practice location is 6870 E Genesee St, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 679-4367.

Kira Lee-lin Gridley is licensed to practice in New York (license number F351912-01) 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 1194583609.

Contact Information

Kira Lee-lin Gridley, FNP
6870 E Genesee St,
Fayetteville, NY 13066-1031
(315) 679-4367
(315) 679-4368

Map and Direction




Provider's Profile

Full NameKira Lee-lin Gridley
GenderFemale
SpecialityNurse Practitioner
Location6870 E Genesee St, Fayetteville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194583609
  • Provider Enumeration Date: 03/08/2024
  • Last Update Date: 03/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345680393
  • Enrollment ID: I20240424003741

Medical Identifiers

Medical identifiers for Kira Lee-lin Gridley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194583609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner F351912-01 (New York)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. Kira Lee-lin Gridley allows following entities to bill medicare on her behalf.
Entity NameWellnow Urgent Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669825162
PECOS PAC ID: 8325320864
Enrollment ID: O20170118001953

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. Kira Lee-lin Gridley 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
Kira Lee-lin Gridley, FNP
5476 Townsend Rd,
Manlius, NY 13104-9754

Ph: (315) 243-6183		Kira Lee-lin Gridley, FNP
6870 E Genesee St,
Fayetteville, NY 13066-1031

Ph: (315) 679-4367

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, NY

Mary Oot, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 510 Towne Dr, Fayetteville, NY 13066
Phone: 315-663-0500    
Ms. Hannah Joan Walsh, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066
Phone: 315-637-7878    
Theresa Baxter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 221 Hunt Dr, Fayetteville, NY 13066
Phone: 315-637-8148    
Jayme K Schreck, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 510 Towne Dr, Fayetteville, NY 13066
Phone: 315-663-0500    Fax: 315-663-0514
Taylor Fisher,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6870 E Genesee St, Fayetteville, NY 13066
Phone: 315-679-4367    
Mrs. Jenaye Karin Broe, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4000 Medical Center Dr Ste 110, Fayetteville, NY 13066
Phone: 315-663-0100    
Kathleen Judith Hergert, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 510 Towne Dr, Fayetteville, NY 13066
Phone: 315-627-0448    

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.