Kisha Pickford, ACNP - Medicare Nurse Practitioner in Memphis, TN

Kisha Pickford, ACNP is a medicare enrolled "Nurse Practitioner" in Memphis, Tennessee. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Emergency Physicians Llc and her current practice location is 6019 Walnut Grove Rd, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 226-5000.

Kisha Pickford is licensed to practice in Tennessee (license number APN7033) 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 1538116389.

Contact Information

Kisha Pickford, ACNP
6019 Walnut Grove Rd,
Memphis, TN 38120-2113
(901) 226-5000
Not Available

Map and Direction




Provider's Profile

Full NameKisha Pickford
GenderFemale
SpecialityNurse Practitioner
Experience26 Years
Location6019 Walnut Grove Rd, Memphis, Tennessee
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:
  • Kisha Pickford graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1538116389
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 12/05/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6507004751
  • Enrollment ID: I20130529000412

Medical Identifiers

Medical identifiers for Kisha Pickford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538116389NPI-NPPES
4010530OtherTNBLUE CROSS
02332770MedicaidMS
3906164MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APN7033 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516

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. Kisha Pickford allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20031121000687
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997

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. Kisha Pickford 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
Kisha Pickford, ACNP
Po Box 634760,
Cincinnati, OH 45263-0001

Ph: () -
Kisha Pickford, ACNP
6019 Walnut Grove Rd,
Memphis, TN 38120-2113

Ph: (901) 226-5000

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.