Ms Jillisa D Hawk, ARNP - Medicare Nurse Practitioner in Berea, KY

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Ms Jillisa D Hawk, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Berea, Kentucky. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nautilus Health Care Group Plc and her current practice location is 305 Estill St, Berea, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 986-9521.

Ms Jillisa D Hawk is licensed to practice in Kentucky (license number 5652P) 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 1053567552.

Contact Information

Ms Jillisa D Hawk, ARNP
305 Estill St,
Berea, KY 40403-1742
(859) 986-9521
(859) 986-7369

Map and Direction




Provider's Profile

Full NameMs Jillisa D Hawk
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location305 Estill St, Berea, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Jillisa D Hawk graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1053567552
  • Provider Enumeration Date: 08/15/2008
  • Last Update Date: 08/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8224196092
  • Enrollment ID: I20081022000756

Medical Identifiers

Medical identifiers for Ms Jillisa D Hawk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053567552NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5652P (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Cumberland Regional HospitalSomerset, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nautilus Health Care Group Plc41838680529

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. Ms Jillisa D Hawk allows following entities to bill medicare on her behalf.
Entity NameLake Cumberland Regional Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861078685
PECOS PAC ID: 7214909456
Enrollment ID: O20040809001229
Entity NameNautilus Health Care Group Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164866877
PECOS PAC ID: 4183868052
Enrollment ID: O20130913000649

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. Ms Jillisa D Hawk 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 AddressPractice Location Address
Ms Jillisa D Hawk, ARNP
Po Box 484,
Berea, KY 40403-0484

Ph: (859) 986-9521		Ms Jillisa D Hawk, ARNP
305 Estill St,
Berea, KY 40403-1742

Ph: (859) 986-9521

Reviews and Comments


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Rebecca Brandenburg, APRN- CNP
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Ms. Robin Kay Smith, APRN
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Phone: 859-986-0302    Fax: 859-986-0315

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.