Ms Keisha R Bird, ARNP in Jacksonville, FL - Medicare Nurse Practitioner

Ms Keisha R Bird, ARNP is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 807 Childrens Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 390-3759.

Ms Keisha R Bird is licensed to practice in Florida (license number ARNP 9195075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265523286.

Contact Information

	Ms Keisha R Bird, ARNP
	807 Childrens Way, Jacksonville, FL 32207-8426
	(904) 390-3759
	(904) 390-3429

Map and Direction

Provider's Profile

Full Name	Ms Keisha R Bird
Gender	Female
Speciality	Nurse Practitioner
Location	807 Childrens Way, 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: 1265523286
Provider Enumeration Date: 09/27/2006
Last Update Date: 11/21/2016

Medicare PECOS Information:

PECOS PAC ID: 0042210205
Enrollment ID: I20070111000501

Medical Identifiers

Medical identifiers for Ms Keisha R Bird such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265523286	NPI	-	NPPES
104862505A	Medicaid	GA
305157900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP 9195075 (Florida)	Primary
363LP0200X	Nurse Practitioner - Pediatrics	ARNP 9195075 (Florida)	Secondary

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 Keisha R Bird allows following entities to bill medicare on her 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. Ms Keisha R Bird 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
Ms Keisha R Bird, ARNP Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212	Ms Keisha R Bird, ARNP 807 Childrens Way, Jacksonville, FL 32207-8426 Ph: (904) 390-3759

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080

Ms Keisha R Bird, ARNP - Medicare Nurse Practitioner in Jacksonville, FL