Kaycie Raylynn Gilbreath, RN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Boise City, Oklahoma. Her current practice location is
100 Ellis Avenue, Boise City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 544-2501.
Kaycie Raylynn Gilbreath is licensed to practice in Oklahoma (license number 209632) 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 1386370500.
Provider's Profile
| Full Name | Kaycie Raylynn Gilbreath |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 100 Ellis Avenue, Boise City, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386370500
- Provider Enumeration Date: 07/29/2022
- Last Update Date: 10/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678957065
- Enrollment ID: I20220902001705
Medical Identifiers
Medical identifiers for Kaycie Raylynn Gilbreath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386370500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN-82110 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209632 (Oklahoma) | 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. Kaycie Raylynn Gilbreath allows following entities to bill medicare on her behalf.
| Entity Name | Cimarron Memorial Hospital And Nursing Home |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164493904
PECOS PAC ID: 5698686517
Enrollment ID: O20031216000160 |
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| Entity Name | Cimarron Memorial Hospital And Nursing Home |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1396715926
PECOS PAC ID: 5698686517
Enrollment ID: O20100621000044 |
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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. Kaycie Raylynn Gilbreath 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 |
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Kaycie Raylynn Gilbreath, RN, FNP-C
901 Main St,
Clayton, NM 88415-2917
Ph: (575) 639-4592 | Kaycie Raylynn Gilbreath, RN, FNP-C
100 Ellis Avenue,
Boise City, OK 73933
Ph: (580) 544-2501 |
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