Mystii Ellen Kidd, PNP in Plano, TX - Medicare Nurse Practitioner

Mystii Ellen Kidd, PNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Plano, Texas. Her current practice location is 4001 W 15th St Ste 350, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 596-2131.

Mystii Ellen Kidd is licensed to practice in Texas (license number AP107293) 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 1437439221.

Contact Information

	Mystii Ellen Kidd, PNP
	4001 W 15th St Ste 350, Plano, TX 75093-5863
	(972) 596-2131
	(682) 303-2031

Map and Direction

Provider's Profile

Full Name	Mystii Ellen Kidd
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	4001 W 15th St Ste 350, Plano, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437439221
Provider Enumeration Date: 08/24/2011
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6002201738
Enrollment ID: I20220316002512

Medical Identifiers

Medical identifiers for Mystii Ellen Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437439221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	AP107293 (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. Mystii Ellen Kidd allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Mystii Ellen Kidd 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
Mystii Ellen Kidd, PNP Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483	Mystii Ellen Kidd, PNP 4001 W 15th St Ste 350, Plano, TX 75093-5863 Ph: (972) 596-2131

Reviews and Comments

Nurse Practitioner Nurses in Plano, TX

Wendy Renee Foster, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd, Suite 1450, Plano, TX 75093 Phone: 469-800-4540 Fax: 469-800-4541
Mrs. Cristina James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Harkness Dr, Plano, TX 75093 Phone: 214-674-0626
Melissa Coltman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 500, Plano, TX 75093 Phone: 972-941-3100 Fax: 844-292-1461
Mrs. Caroline Kesterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4708 Alliance Blvd Ste 550, Plano, TX 75093 Phone: 469-800-6140
Mrs. Margie Carol Crews, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St, Suite 180, Plano, TX 75093 Phone: 972-867-5300 Fax: 972-867-5301
Saeed Niyati, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Coit Rd, Suite 206, Plano, TX 75075 Phone: 972-612-4999
Ms. Tonya Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Plano, TX 75093 Phone: 214-522-4640

Mystii Ellen Kidd, PNP - Medicare Nurse Practitioner in Plano, TX