Kasilynn Alese Shaddy, in Springdale, AR - Medicare Nurse Practitioner

Kasilynn Alese Shaddy, is a medicare enrolled "Nurse Practitioner" in Springdale, Arkansas. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urgent Team Of Arkansas Physicians Llc, Premier Family Health Care Llc and her current practice location is 3300 W Sunset Ave, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 717-7089.

Kasilynn Alese Shaddy is licensed to practice in Arkansas (license number 125710) 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 1144836909.

Contact Information

	Kasilynn Alese Shaddy,
	3300 W Sunset Ave, Springdale, AR 72762-4950
	(479) 717-7089
	Not Available

Map and Direction

Provider's Profile

Full Name	Kasilynn Alese Shaddy
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3300 W Sunset Ave, Springdale, Arkansas
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:

Kasilynn Alese Shaddy graduated from nursing school in 2020

NPI Data:

NPI Number: 1144836909
Provider Enumeration Date: 09/17/2020
Last Update Date: 09/17/2020

Medicare PECOS Information:

PECOS PAC ID: 2466872031
Enrollment ID: I20201020002442

Medical Identifiers

Medical identifiers for Kasilynn Alese Shaddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144836909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	125710 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Siloam Springs Regional Hospital	Siloam springs, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urgent Team Of Arkansas Physicians Llc	1850539198	134
Premier Family Health Care Llc	8820535545	4

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. Kasilynn Alese Shaddy allows following entities to bill medicare on her behalf.

Entity Name	Urgent Team Of Arkansas Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209

Entity Name	Karas Family Walk In Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134542434 PECOS PAC ID: 4688899883 Enrollment ID: O20140702000127

Entity Name	Premier Family Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558102228 PECOS PAC ID: 8820535545 Enrollment ID: O20240731000051

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. Kasilynn Alese Shaddy 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
Kasilynn Alese Shaddy, 3300 W Sunset Ave, Springdale, AR 72762-4950 Ph: () -	Kasilynn Alese Shaddy, 3300 W Sunset Ave, Springdale, AR 72762-4950 Ph: (479) 717-7089

Reviews and Comments

Nurse Practitioner Nurses in Springdale, AR

Scarlett Vanessa Grandy, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Emma Ave Ste 300, Springdale, AR 72764 Phone: 479-751-7417
Scott Grigg, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Springdale, AR 72762 Phone: 479-684-3132 Fax: 479-684-3098
Andrew Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Kaylee M Armendariz, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2878 Powell St, Springdale, AR 72764 Phone: 479-872-3045 Fax: 479-419-5947
James Robert Feher, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4077 Elm Springs Rd Ste 105, Springdale, AR 72762 Phone: 479-927-2100
Kelsey Breanne Gay, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2988 W Huntsville Ave Ste C, Springdale, AR 72762 Phone: 479-250-4849
Stephanie Burks, FNP-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 479-445-9900

Kasilynn Alese Shaddy, - Medicare Nurse Practitioner in Springdale, AR