Kacy V Enloe, PA-C - Medicare Physician Assistant in Fayetteville, AR

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Kacy V Enloe, PA-C is a medicare enrolled "Physician Assistant" in Fayetteville, Arkansas. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fands Physical Therapy, Inc, Washington Regional Medical System and her current practice location is 1695 E Rainforest Rd, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 445-6460.

Kacy V Enloe is licensed to practice in Arkansas (license number 979) 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 1922580638.

Contact Information

Kacy V Enloe, PA-C
1695 E Rainforest Rd,
Fayetteville, AR 72703-5385
(479) 445-6460
Not Available

Map and Direction




Provider's Profile

Full NameKacy V Enloe
GenderFemale
SpecialityPhysician Assistant
Experience9 Years
Location1695 E Rainforest Rd, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. 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 V Enloe graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1922580638
  • Provider Enumeration Date: 08/30/2018
  • Last Update Date: 05/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507119443
  • Enrollment ID: I20210519001593

Medical Identifiers

Medical identifiers for Kacy V Enloe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922580638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3503 (Tennessee)Secondary
363A00000XPhysician Assistant 979 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington Regional Medical CenterFayetteville, ARHospital
Mercy Hospital Fort SmithFort smith, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fands Physical Therapy, Inc7810898459217
Washington Regional Medical System8820995434238

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 V Enloe allows following entities to bill medicare on her behalf.
Entity NameWashington Regional Medical System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104097500
PECOS PAC ID: 8820995434
Enrollment ID: O20080630000683
Entity NameRoller Weight Loss Institute, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073743399
PECOS PAC ID: 0446398770
Enrollment ID: O20091106000368

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 V Enloe 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
Kacy V Enloe, PA-C
1695 E Rainforest Rd,
Fayetteville, AR 72703-5385

Ph: (479) 651-1194		Kacy V Enloe, PA-C
1695 E Rainforest Rd,
Fayetteville, AR 72703-5385

Ph: (479) 445-6460

Reviews and Comments


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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.