Kailey Emma Demoura, in Lakeville, MA - Medicare Nurse Practitioner

Kailey Emma Demoura, is a medicare enrolled "Nurse Practitioner" in Lakeville, Massachusetts. Her current practice location is 12 Main St, Lakeville, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 946-0202.

Kailey Emma Demoura is licensed to practice in Massachusetts (license number RN2318157) 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 1326816802.

Contact Information

	Kailey Emma Demoura,
	12 Main St, Lakeville, MA 02347-1606
	(508) 946-0202
	Not Available

Map and Direction

Provider's Profile

Full Name	Kailey Emma Demoura
Gender	Female
Speciality	Nurse Practitioner
Location	12 Main St, Lakeville, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326816802
Provider Enumeration Date: 12/14/2023
Last Update Date: 09/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4284086927
Enrollment ID: I20240118002896

Medical Identifiers

Medical identifiers for Kailey Emma Demoura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326816802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN2318157 (Massachusetts)	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. Kailey Emma Demoura allows following entities to bill medicare on her behalf.

Entity Name	Southcoast Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138

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. Kailey Emma Demoura 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
Kailey Emma Demoura, 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000	Kailey Emma Demoura, 12 Main St, Lakeville, MA 02347-1606 Ph: (508) 946-0202

Reviews and Comments

Nurse Practitioner Nurses in Lakeville, MA

Kayla M Delle Chiaie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Lakeville Business Park, Lakeville, MA 02347 Phone: 508-947-0630
Jacqueline Ann Tolosko, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 69 Main St, Lakeville, MA 02347 Phone: 508-947-4400
Sandra Araujo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Main St, Lakeville, MA 02347 Phone: 508-946-0202
Paul Gould, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Race Course Rd, Lakeville, MA 02347 Phone: 508-725-7553
Amy C. Hatch, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Lakeville Business Park, Lakeville, MA 02347 Phone: 508-947-0630
Mrs. Sharonda Lashawn Bagwell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Rhode Island Rd Ste 4b, Lakeville, MA 02347 Phone: 774-209-2372 Fax: 774-217-7242

Kailey Emma Demoura, - Medicare Nurse Practitioner in Lakeville, MA