Kassidy Nicole Hubbard, APRN, PMHNP-BC in Knoxville, TN

Kassidy Nicole Hubbard, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Knoxville, Tennessee. Her current practice location is 550 Fort Summit Way Fl 2, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 970-9800.

Kassidy Nicole Hubbard is licensed to practice in Tennessee (license number 33077) 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 1194435800.

Contact Information

	Kassidy Nicole Hubbard, APRN, PMHNP-BC
	550 Fort Summit Way Fl 2, Knoxville, TN 37915-2146
	(865) 970-9800
	(865) 374-2054

Map and Direction

Provider's Profile

Full Name	Kassidy Nicole Hubbard
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	550 Fort Summit Way Fl 2, Knoxville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194435800
Provider Enumeration Date: 12/05/2022
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8820453897
Enrollment ID: I20230426001000

Medical Identifiers

Medical identifiers for Kassidy Nicole Hubbard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194435800	NPI	-	NPPES
081069	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	0000244679 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	33077 (Tennessee)	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. Kassidy Nicole Hubbard allows following entities to bill medicare on her behalf.

Entity Name	Parkwest Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423

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. Kassidy Nicole Hubbard 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
Kassidy Nicole Hubbard, APRN, PMHNP-BC 550 Fort Summit Way Fl 2, Knoxville, TN 37915-2146 Ph: (865) 970-9800	Kassidy Nicole Hubbard, APRN, PMHNP-BC 550 Fort Summit Way Fl 2, Knoxville, TN 37915-2146 Ph: (865) 970-9800

Reviews and Comments

Nurse Practitioner Nurses in Knoxville, TN

Mrs. Patricia M Huddleston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1940 Alcoa Hwy, Ste 180, Knoxville, TN 37920 Phone: 865-305-6955 Fax: 865-305-8238
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Sydney Wallace Sherrell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Accelerator Way Ste 200, Knoxville, TN 37920 Phone: 865-546-2663
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Kassidy Nicole Hubbard, APRN, PMHNP-BC - Medicare Nurse Practitioner in Knoxville, TN