Kailey A Wickens, APRN in Tampa, FL - Medicare Nurse Practitioner

Kailey A Wickens, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tampa, Florida. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health System/sunbelt, Inc. and her current practice location is 5130 Sunforest Dr Ste 300, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 824-0780.

Kailey A Wickens is licensed to practice in Florida (license number APRN11007400) 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 1073120093.

Contact Information

	Kailey A Wickens, APRN
	5130 Sunforest Dr Ste 300, Tampa, FL 33634-6327
	(727) 824-0780
	(813) 514-8891

Map and Direction

Provider's Profile

Full Name	Kailey A Wickens
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	5130 Sunforest Dr Ste 300, Tampa, Florida
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:

Kailey A Wickens graduated from nursing school in 2020

NPI Data:

NPI Number: 1073120093
Provider Enumeration Date: 09/24/2020
Last Update Date: 11/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5395156087
Enrollment ID: I20201202000432

Medical Identifiers

Medical identifiers for Kailey A Wickens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073120093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11007400 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Orlando	Orlando, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health System/sunbelt, Inc.	3274657721	61

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 A Wickens allows following entities to bill medicare on her behalf.

Entity Name	Optumcare Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053384214 PECOS PAC ID: 3072403476 Enrollment ID: O20040318001123

Entity Name	To Your Health Of Lake County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104017946 PECOS PAC ID: 3678657129 Enrollment ID: O20080222000360

Entity Name	Adventist Health System Sunbelt Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427296730 PECOS PAC ID: 3274657721 Enrollment ID: O20100903000981

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 A Wickens 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 A Wickens, APRN 5130 Sunforest Dr Ste 300, Tampa, FL 33634-6327 Ph: (727) 824-0780	Kailey A Wickens, APRN 5130 Sunforest Dr Ste 300, Tampa, FL 33634-6327 Ph: (727) 824-0780

Reviews and Comments

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Charmaine Henry, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Kailey A Wickens, APRN - Medicare Nurse Practitioner in Tampa, FL