Kyley Jennifer Caldwell, is a medicare enrolled "Nurse Practitioner - Family" in Broadway, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dlp Central Carolina Medical Group Llc and her current practice location is
101 Church St, Broadway, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 258-6521.
Kyley Jennifer Caldwell is licensed to practice in North Carolina (license number 5015281) 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 1760146476.
Provider's Profile
| Full Name | Kyley Jennifer Caldwell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 101 Church St, Broadway, North Carolina |
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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:
- Kyley Jennifer Caldwell graduated from nursing school in 2021
NPI Data:
- NPI Number: 1760146476
- Provider Enumeration Date: 10/28/2021
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991197154
- Enrollment ID: I20220120000037
Medical Identifiers
Medical identifiers for Kyley Jennifer Caldwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760146476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5015281 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dlp Central Carolina Medical Group Llc | 3577840420 | 29 |
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. Kyley Jennifer Caldwell allows following entities to bill medicare on her behalf.
| Entity Name | Dlp Central Carolina Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184163883
PECOS PAC ID: 3577840420
Enrollment ID: O20170503000867 |
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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. Kyley Jennifer Caldwell 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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Kyley Jennifer Caldwell,
1125 Carthage St,
Sanford, NC 27330-4162
Ph: (910) 774-6023 | Kyley Jennifer Caldwell,
101 Church St,
Broadway, NC 27505-9394
Ph: (919) 258-6521 |
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