Mr Jeremiah Hornsby, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wright, Kentucky. His current practice location is
3457 Valley Plaza Pkwy, Fort Wright, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 344-2760.
Mr Jeremiah Hornsby is licensed to practice in Kentucky (license number 3019122) 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 1508566803.
Provider's Profile
| Full Name | Mr Jeremiah Hornsby |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3457 Valley Plaza Pkwy, Fort Wright, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508566803
- Provider Enumeration Date: 03/06/2023
- Last Update Date: 03/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991142408
- Enrollment ID: I20240320000657
Medical Identifiers
Medical identifiers for Mr Jeremiah Hornsby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508566803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3019122 (Kentucky) | 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. Mr Jeremiah Hornsby allows following entities to bill medicare on his behalf.
| Entity Name | Kiosk Medicine Kentucky Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205885035
PECOS PAC ID: 6002887510
Enrollment ID: O20040805001127 |
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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. Mr Jeremiah Hornsby 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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Mr Jeremiah Hornsby, FNP
2652 Ridgecrest Ln,
Covington, KY 41017-9713
Ph: (513) 828-2009 | Mr Jeremiah Hornsby, FNP
3457 Valley Plaza Pkwy,
Fort Wright, KY 41017
Ph: (859) 344-2760 |
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