Kacy Mikala Kirk, NP in Tullahoma, TN - Medicare Nurse Practitioner

Kacy Mikala Kirk, NP is a medicare enrolled "Nurse Practitioner - Family" in Tullahoma, Tennessee. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is 1803 N Jackson St, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 455-3400.

Kacy Mikala Kirk is licensed to practice in Tennessee (license number 22311) 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 1063950160.

Contact Information

	Kacy Mikala Kirk, NP
	1803 N Jackson St, Tullahoma, TN 37388-2201
	(931) 455-3400
	Not Available

Map and Direction

Provider's Profile

Full Name	Kacy Mikala Kirk
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1803 N Jackson St, Tullahoma, Tennessee
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:

Kacy Mikala Kirk graduated from nursing school in 2016

NPI Data:

NPI Number: 1063950160
Provider Enumeration Date: 02/08/2017
Last Update Date: 11/12/2021

Medicare PECOS Information:

PECOS PAC ID: 5991082554
Enrollment ID: I20170508002725

Medical Identifiers

Medical identifiers for Kacy Mikala Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063950160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	22311 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Medical Clinic Pllc	5395881841	510

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. Kacy Mikala Kirk allows following entities to bill medicare on her behalf.

Entity Name	Centerstone Of Tennesse Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396767430 PECOS PAC ID: 9739088113 Enrollment ID: O20040106000489

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

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. Kacy Mikala Kirk 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
Kacy Mikala Kirk, NP 183 Roberts Creek Cir, Manchester, TN 37355-3690 Ph: (931) 607-2531	Kacy Mikala Kirk, NP 1803 N Jackson St, Tullahoma, TN 37388-2201 Ph: (931) 455-3400

Reviews and Comments

Nurse Practitioner Nurses in Tullahoma, TN

Mrs. Shonda Tormohlen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 E Lauderdale St, Tullahoma, TN 37388 Phone: 423-309-9650
Sharon Lynn Gilliam, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388 Phone: 931-455-2766 Fax: 931-455-2829
Melissa Ann Perry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-962-4040
Robbie M. Webb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-4921 Fax: 931-461-4677
Ladonna Marie Ledford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 S Anderson St, Tullahoma, TN 37388 Phone: 931-563-7464 Fax: 931-563-7401
Jason A. Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Jackson St, Tullahoma, TN 37388 Phone: 931-563-5463

Kacy Mikala Kirk, NP - Medicare Nurse Practitioner in Tullahoma, TN