Kevin Thomas Hartley, is a medicare enrolled "Nurse Practitioner - Family" physician in Florence, Kentucky. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Eventus Ecs, Inc, Extended Care Specialists, Inc and his current practice location is
7000 Dixie Hwy, Florence, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 282-2024.
Kevin Thomas Hartley is licensed to practice in Kentucky (license number 3014140) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396375952.
Physician's Profile
| Full Name | Kevin Thomas Hartley |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 7000 Dixie Hwy, Florence, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Thomas Hartley graduated from medical school in 2020
NPI Data:
- NPI Number: 1396375952
- Provider Enumeration Date: 01/23/2020
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436588035
- Enrollment ID: I20241017003923
Medical Identifiers
Medical identifiers for Kevin Thomas Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396375952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 3014140 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014140 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eventus Ecs, Inc | 2163969650 | 230 |
| Extended Care Specialists, Inc | 2466407713 | 271 |
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. Kevin Thomas Hartley allows following entities to bill medicare on his behalf.
| Entity Name | Robert Klickovich |
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| Entity Type | Practitioner - Anesthesiology |
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| Entity Identifiers | NPI Number: 1649204306
PECOS PAC ID: 9931106879
Enrollment ID: I20080214000023 |
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| Entity Name | Extended Care Specialists, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20190703001141 |
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| Entity Name | Eventus Ecs, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073353496
PECOS PAC ID: 2163969650
Enrollment ID: O20240910001036 |
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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. Kevin Thomas Hartley 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 |
|---|
Kevin Thomas Hartley,
7000 Dixie Hwy,
Florence, KY 41042-2010
Ph: (859) 282-2024 | Kevin Thomas Hartley,
7000 Dixie Hwy,
Florence, KY 41042-2010
Ph: (859) 282-2024 |
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