Ms Kiesa Ann Edgar, FNP-BC in Humble, TX - Medicare Nurse Practitioner

Ms Kiesa Ann Edgar, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Humble, Texas. Her current practice location is 15235 Lilybank Dr, Humble, Texas. You can reach out to her office (for appointments etc.) via phone at (832) 425-8361.

Ms Kiesa Ann Edgar is licensed to practice in Texas (license number 1177412) 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 1376362137.

Contact Information

	Ms Kiesa Ann Edgar, FNP-BC
	15235 Lilybank Dr, Humble, TX 77346-4937
	(832) 425-8361
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kiesa Ann Edgar
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15235 Lilybank Dr, Humble, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376362137
Provider Enumeration Date: 10/08/2024
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6608394200
Enrollment ID: I20250518000024

Medical Identifiers

Medical identifiers for Ms Kiesa Ann Edgar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376362137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1177412 (Texas)	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. Ms Kiesa Ann Edgar allows following entities to bill medicare on her behalf.

Entity Name	Tmc Provider Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053784660 PECOS PAC ID: 6305149121 Enrollment ID: O20160127002626

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 Kiesa Ann Edgar 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 Kiesa Ann Edgar, FNP-BC 15235 Lilybank Dr, Humble, TX 77346-4937 Ph: (832) 425-8361	Ms Kiesa Ann Edgar, FNP-BC 15235 Lilybank Dr, Humble, TX 77346-4937 Ph: (832) 425-8361

Reviews and Comments

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Ms Kiesa Ann Edgar, FNP-BC - Medicare Nurse Practitioner in Humble, TX