Mrs Kathy Michelle O'connor-wray, DNP, APN, FNP-C in Jackson, TN

Mrs Kathy Michelle O'connor-wray, DNP, APN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Tennessee. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is 8 Stonebridge Blvd Ste M, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 265-6197.

Mrs Kathy Michelle O'connor-wray is licensed to practice in Tennessee (license number 12767) 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 1528241999.

Contact Information

	Mrs Kathy Michelle O'connor-wray, DNP, APN, FNP-C
	8 Stonebridge Blvd Ste M, Jackson, TN 38305-2178
	(731) 265-6197
	(731) 265-6198

Map and Direction

Provider's Profile

Full Name	Mrs Kathy Michelle O'connor-wray
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	8 Stonebridge Blvd Ste M, Jackson, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kathy Michelle O'connor-wray graduated from nursing school in 2006

NPI Data:

NPI Number: 1528241999
Provider Enumeration Date: 12/08/2007
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5193971174
Enrollment ID: I20120807000349

Medical Identifiers

Medical identifiers for Mrs Kathy Michelle O'connor-wray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528241999	NPI	-	NPPES
1529265	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12767 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Medical Clinic Pllc	5395881841	556

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. Mrs Kathy Michelle O'connor-wray allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

Entity Name	Primary Care Clinic Of Jackson
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609309855 PECOS PAC ID: 6901173657 Enrollment ID: O20170530002269

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345

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. Mrs Kathy Michelle O'connor-wray 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
Mrs Kathy Michelle O'connor-wray, DNP, APN, FNP-C 107 Pepper Tree Rd, Jackson, TN 38305-8865 Ph: (731) 225-3639	Mrs Kathy Michelle O'connor-wray, DNP, APN, FNP-C 8 Stonebridge Blvd Ste M, Jackson, TN 38305-2178 Ph: (731) 265-6197

Reviews and Comments

Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Amy K Lawrence, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Kirsten Siler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483

Mrs Kathy Michelle O'connor-wray, DNP, APN, FNP-C - Medicare Nurse Practitioner in Jackson, TN