Kenneth Elisha Conn, CRNP in Anniston, AL - Medicare Nurse Practitioner

Kenneth Elisha Conn, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Anniston, Alabama. His current practice location is 400 E 10th St, Anniston, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 235-5211.

Kenneth Elisha Conn is licensed to practice in Alabama (license number 1-105093) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336459437.

Contact Information

	Kenneth Elisha Conn, CRNP
	400 E 10th St, Anniston, AL 36207-4716
	(256) 235-5211
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth Elisha Conn
Gender	Male
Speciality	Nurse Practitioner - Family
Location	400 E 10th St, Anniston, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336459437
Provider Enumeration Date: 10/07/2010
Last Update Date: 11/20/2015

Medicare PECOS Information:

PECOS PAC ID: 5698743730
Enrollment ID: I20101207001128

Medical Identifiers

Medical identifiers for Kenneth Elisha Conn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336459437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-105093 (Alabama)	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. Kenneth Elisha Conn allows following entities to bill medicare on his behalf.

Entity Name	App Of Alabama Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174

Entity Name	Cherokee County Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760958680 PECOS PAC ID: 3173860087 Enrollment ID: O20190131001218

Entity Name	Weiss Lake Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205397643 PECOS PAC ID: 5799011219 Enrollment ID: O20190722002439

Entity Name	Gadsden Hb Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750061610 PECOS PAC ID: 4183078561 Enrollment ID: O20231004001282

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. Kenneth Elisha Conn 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
Kenneth Elisha Conn, CRNP 13365 Al Highway 9, Piedmont, AL 36272-7723 Ph: (256) 435-5394	Kenneth Elisha Conn, CRNP 400 E 10th St, Anniston, AL 36207-4716 Ph: (256) 235-5211

Reviews and Comments

Nurse Practitioner Nurses in Anniston, AL

Amanda Marie Pearson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795
Mary Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464
Cori Clark Broadhead, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795
Holly Flanagan Mays, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3312 Henry Rd, Anniston, AL 36207 Phone: 256-241-2671 Fax: 256-241-2676
Jessica Benedicta Coby, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5896
Dr. Dhara Sandip Patel, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464
Jessica Marie Semyonova, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Christine Ave, Anniston, AL 36207 Phone: 256-236-5631 Fax: 256-241-2241

Kenneth Elisha Conn, CRNP - Medicare Nurse Practitioner in Anniston, AL