Hailey Puckett, in Manchester, TN - Medicare Nurse Practitioner

Hailey Puckett, is a medicare enrolled "Nurse Practitioner - Women's Health" in Manchester, Tennessee. Her current practice location is 16110 Mcarthur St, Manchester, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 962-3500.

Hailey Puckett is licensed to practice in Tennessee (license number 34800) 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 1164295408.

Contact Information

	Hailey Puckett,
	16110 Mcarthur St, Manchester, TN 37388
	(931) 962-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Hailey Puckett
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	16110 Mcarthur St, Manchester, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164295408
Provider Enumeration Date: 10/30/2023
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 8820447477
Enrollment ID: I20231208000682

Medical Identifiers

Medical identifiers for Hailey Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164295408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	34800 (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. Hailey Puckett allows following entities to bill medicare on her behalf.

Entity Name	Amg-southern Tennessee Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206

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. Hailey Puckett 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
Hailey Puckett, 155 Hospital Rd Suite C, Wartrace, TN 37183-3030 Ph: (931) 962-3297	Hailey Puckett, 16110 Mcarthur St, Manchester, TN 37388 Ph: (931) 962-3500

Reviews and Comments

Nurse Practitioner Nurses in Manchester, TN

Vickie Jones, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 585 Interstate Dr, Suite B, Manchester, TN 37355 Phone: 931-728-9000 Fax: 931-728-2726
Katherine Propst, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 193 Relco Dr, Manchester, TN 37355 Phone: 931-728-3090 Fax: 931-728-3097
Mrs. Dawn Selvage, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Hillsboro Blvd, Manchester, TN 37355 Phone: 931-800-4622
Jennifer Keeley Sears, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 Interstate Dr, Manchester, TN 37355 Phone: 931-728-4718 Fax: 931-728-1016
Mrs. Christine Dempsey, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 585 Interstate Dr Ste B, Manchester, TN 37355 Phone: 931-728-9000 Fax: 931-728-2726
Elizabeth Field Reinke, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1415 Hillsboro Blvd, Manchester, TN 37355 Phone: 931-954-5605

Hailey Puckett, - Medicare Nurse Practitioner in Manchester, TN