Hart Katherine Wylie, PMHNP, LPC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Jackson, Mississippi. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Mississippi Primary Health Care Inc, North Mississippi Primary Health Care Inc, State Of Mississippi-university Of Mississippi Medical Center, Mantachie Rural Health Care, Inc and her current practice location is
1855 Lakeland Dr, Suite P-121, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 366-4696.
Hart Katherine Wylie is licensed to practice in Mississippi (license number R883581) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053639088.
Healthcare Provider's Profile
| Full Name | Hart Katherine Wylie |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 14 Years |
|---|
| Location | 1855 Lakeland Dr, Jackson, Mississippi |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Hart Katherine Wylie graduated from medical school in 2012
NPI Data:
- NPI Number: 1053639088
- Provider Enumeration Date: 05/14/2010
- Last Update Date: 09/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 3375818206
- Enrollment ID: I20230125000528
Medical Identifiers
Medical identifiers for Hart Katherine Wylie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053639088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 1360 (Mississippi) | Secondary |
| 106H00000X | Marriage & Family Therapist | T0434 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R883581 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| North Mississippi Primary Health Care Inc | 3274513528 | 26 |
| North Mississippi Primary Health Care Inc | 3274513528 | 26 |
| State Of Mississippi-university Of Mississippi Medical Center | 1850293036 | 956 |
| Mantachie Rural Health Care, Inc | 2567372121 | 12 |
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. Hart Katherine Wylie allows following entities to bill medicare on her behalf.
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
|---|
| Entity Name | North Mississippi Primary Health Care Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1821092552 PECOS PAC ID: 3274513528 Enrollment ID: O20100414000677 |
|---|
| Entity Name | Mcclendon Medical Clinic Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053782755 PECOS PAC ID: 6103129945 Enrollment ID: O20160128000276 |
|---|
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. Hart Katherine Wylie 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 |
Hart Katherine Wylie, PMHNP, LPC 1855 Lakeland Dr, Suite P-121, Jackson, MS 39216-4913 Ph: (601) 366-4696 | Hart Katherine Wylie, PMHNP, LPC 1855 Lakeland Dr, Suite P-121, Jackson, MS 39216-4913 Ph: (601) 366-4696 |
Reviews and Comments