Kacey Dawn Poe, PMHNP - Medicare Nurse Practitioner in Sullivan, IN

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Kacey Dawn Poe, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sullivan, Indiana. Her current practice location is 112 E Jackson St, Sullivan, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 780-2080.

Kacey Dawn Poe is licensed to practice in Indiana (license number 71013432A) 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 1740904002.

Contact Information

Kacey Dawn Poe, PMHNP
112 E Jackson St,
Sullivan, IN 47882-1527
(812) 780-2080
(812) 780-2081

Map and Direction




Provider's Profile

Full NameKacey Dawn Poe
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location112 E Jackson St, Sullivan, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740904002
  • Provider Enumeration Date: 09/30/2022
  • Last Update Date: 01/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002282712
  • Enrollment ID: I20221021000302

Medical Identifiers

Medical identifiers for Kacey Dawn Poe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740904002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 71013432A (Indiana)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. Kacey Dawn Poe allows following entities to bill medicare on her behalf.
Entity NameHarsha Outpatient Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255745287
PECOS PAC ID: 5496070831
Enrollment ID: O20150206000796
Entity NameRoadways To Recovery Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740856483
PECOS PAC ID: 0143613695
Enrollment ID: O20220207000825

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. Kacey Dawn Poe 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 AddressPractice Location Address
Kacey Dawn Poe, PMHNP
112 E Jackson St,
Sullivan, IN 47882-1527

Ph: (812) 780-2080		Kacey Dawn Poe, PMHNP
112 E Jackson St,
Sullivan, IN 47882-1527

Ph: (812) 780-2080

Reviews and Comments


Nurse Practitioner Nurses in Sullivan, IN

Mrs. Terri Lee Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882
Phone: 812-268-3318    
Jeanna Rennee Lisman, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882
Phone: 812-268-3318    
Mrs. Kelly Sue Evans, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2204 North Section Street, Sullivan, IN 47882
Phone: 812-268-2556    
Holly Laue, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-4311    Fax: 812-268-6809
Billie J Thurman, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-4311    Fax: 812-268-2609
Kevin Braun Flinn, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2200 N Section St Ste A, Sullivan, IN 47882
Phone: 812-268-6292    
Mrs. Amy Nicole Sparks, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-4311    Fax: 812-268-2544

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.