Kyle Shepherd, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Kyle Shepherd, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. His current practice location is 655 W 8th St Fl 2, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 383-1010.

Kyle Shepherd is licensed to practice in Florida (license number 11020417) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578269684.

Contact Information

	Kyle Shepherd, APRN
	655 W 8th St Fl 2, Jacksonville, FL 32209-6511
	(904) 383-1010
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle Shepherd
Gender	Male
Speciality	Nurse Practitioner - Family
Location	655 W 8th St Fl 2, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578269684
Provider Enumeration Date: 02/01/2023
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 2961841796
Enrollment ID: I20240412002976

Medical Identifiers

Medical identifiers for Kyle Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578269684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11020417 (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. Kyle Shepherd allows following entities to bill medicare on his behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Kyle Shepherd 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
Kyle Shepherd, APRN Po Box 44008, Jacksonville, FL 32231-4008 Ph: (352) 494-1804	Kyle Shepherd, APRN 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 Ph: (904) 383-1010

Reviews and Comments

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Kyle Shepherd, APRN - Medicare Nurse Practitioner in Jacksonville, FL