Kristal Shay Dailey, CNP is a medicare enrolled "Nurse Practitioner" in Beaver, Ohio. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Somc Medical Care Foundation, Inc. and her current practice location is
1170 Tile Mill Rd, Beaver, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 226-1552.
Kristal Shay Dailey is licensed to practice in Ohio (license number COA.15146-NP) 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 1629271424.
Provider's Profile
| Full Name | Kristal Shay Dailey |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 1170 Tile Mill Rd, Beaver, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristal Shay Dailey graduated from nursing school in 2013
NPI Data:
- NPI Number: 1629271424
- Provider Enumeration Date: 06/08/2007
- Last Update Date: 12/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294057170
- Enrollment ID: I20141203001832
Medical Identifiers
Medical identifiers for Kristal Shay Dailey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629271424 | NPI | - | NPPES |
| 0114609 | Medicaid | OH | |
| 7100328360 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | COA.15146-NP (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
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. Kristal Shay Dailey allows following entities to bill medicare on her behalf.
| Entity Name | Somc Medical Care Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203 |
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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. Kristal Shay Dailey 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 |
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Kristal Shay Dailey, CNP
1735 27th St Ste B06,
Portsmouth, OH 45662-2681
Ph: (740) 356-8681 | Kristal Shay Dailey, CNP
1170 Tile Mill Rd,
Beaver, OH 45613-9435
Ph: (740) 226-1552 |
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