Debra Hardison, is a medicare enrolled "Nurse Practitioner - Adult Health" in Waddy, Kentucky. Her current practice location is
3064 Pea Ridge Rd, Waddy, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 543-7557.
Debra Hardison is licensed to practice in Kentucky (license number 3014154) 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 1851922744.
Provider's Profile
| Full Name | Debra Hardison |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 3064 Pea Ridge Rd, Waddy, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851922744
- Provider Enumeration Date: 01/29/2020
- Last Update Date: 01/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 8426460239
- Enrollment ID: I20201221001543
Medical Identifiers
Medical identifiers for Debra Hardison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851922744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | 3014154 (Kentucky) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 3014154 (Kentucky) | 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. Debra Hardison allows following entities to bill medicare on her behalf.
| Entity Name | A New Start Ii, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467823328
PECOS PAC ID: 6204170848
Enrollment ID: O20181207001632 |
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| Entity Name | Vip Community Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568152098
PECOS PAC ID: 7618339326
Enrollment ID: O20230811003031 |
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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. Debra Hardison 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 |
|---|
Debra Hardison,
3064 Pea Ridge Rd,
Waddy, KY 40076-6107
Ph: (270) 543-7557 | Debra Hardison,
3064 Pea Ridge Rd,
Waddy, KY 40076-6107
Ph: (270) 543-7557 |
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