Kayla Rose Judd, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Jamestown, Tennessee. Her current practice location is
100 S Duncan St, Jamestown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 879-5864.
Kayla Rose Judd is licensed to practice in Tennessee (license number 29754) 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 1346905072.
Physician's Profile
| Full Name | Kayla Rose Judd |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 100 S Duncan St, Jamestown, Tennessee |
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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: 1346905072
- Provider Enumeration Date: 11/08/2021
- Last Update Date: 04/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850784877
- Enrollment ID: I20220215000608
Medical Identifiers
Medical identifiers for Kayla Rose Judd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346905072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 29754 (Tennessee) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 29754 (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. Kayla Rose Judd allows following entities to bill medicare on her behalf.
| Entity Name | Hs Clinical Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740444546
PECOS PAC ID: 7810208006
Enrollment ID: O20151020000655 |
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| Entity Name | Pain Medicine Of The South, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558887125
PECOS PAC ID: 6800159682
Enrollment ID: O20180409000522 |
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| Entity Name | Monogram Health Professional Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134739089
PECOS PAC ID: 4880004183
Enrollment ID: O20201027002061 |
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| Entity Name | Evernorth Care Providers - Tennessee Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164100400
PECOS PAC ID: 7911355532
Enrollment ID: O20231130003226 |
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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. Kayla Rose Judd 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 Rose Judd, APRN
Po Box 2861,
Crossville, TN 38557-2861
Ph: (931) 879-5864 | Kayla Rose Judd, APRN
100 S Duncan St,
Jamestown, TN 38556-3009
Ph: (931) 879-5864 |
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