Kayla E Kennedy, NP in De Pere, WI - Medicare Nurse Practitioner

Kayla E Kennedy, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in De Pere, Wisconsin. Her current practice location is 1881 Chicago St, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 403-8000.

Kayla E Kennedy is licensed to practice in Wisconsin (license number 13198) 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 1922723261.

Contact Information

	Kayla E Kennedy, NP
	1881 Chicago St, De Pere, WI 54115-3770
	(920) 403-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kayla E Kennedy
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1881 Chicago St, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922723261
Provider Enumeration Date: 10/10/2022
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5799153235
Enrollment ID: I20221115001061

Medical Identifiers

Medical identifiers for Kayla E Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922723261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13198 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	13198 (Wisconsin)	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. Kayla E Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Kayla E Kennedy 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
Kayla E Kennedy, NP 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () -	Kayla E Kennedy, NP 1881 Chicago St, De Pere, WI 54115-3770 Ph: (920) 403-8000

Reviews and Comments

Nurse Practitioner Nurses in De Pere, WI

Margaret M Brochocki, APNP PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-0129
Paul Antonissen, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3957 Garrett St, De Pere, WI 54115 Phone: 920-471-3729
Aspen Marie Jump, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855
Ivy E Leasum, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 N Wisconsin St, De Pere, WI 54115 Phone: 920-327-7056
Pamela M Page, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Stacey J Hittman, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Sand Acres Dr Ste 2a, De Pere, WI 54115 Phone: 920-373-8086
Katie E Bischoff, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2366 Oak Ridge Cir, De Pere, WI 54115 Phone: 920-338-1111 Fax: 920-339-5505

Kayla E Kennedy, NP - Medicare Nurse Practitioner in De Pere, WI