Kenneth Vickroy, FNP in Phoenix, AZ - Medicare Nurse Practitioner

Kenneth Vickroy, FNP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Comprehensive Rehab Consultants Pllc and his current practice location is 222 W Thomas Rd Ste 114, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 406-4578.

Kenneth Vickroy is licensed to practice in Arizona (license number AP8000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285019695.

Contact Information

	Kenneth Vickroy, FNP
	222 W Thomas Rd Ste 114, Phoenix, AZ 85013-4420
	(602) 406-4578
	(602) 424-5445

Map and Direction

Provider's Profile

Full Name	Kenneth Vickroy
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	222 W Thomas Rd Ste 114, Phoenix, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Vickroy graduated from nursing school in 2015

NPI Data:

NPI Number: 1285019695
Provider Enumeration Date: 07/27/2015
Last Update Date: 06/04/2026

Medicare PECOS Information:

PECOS PAC ID: 7911214119
Enrollment ID: I20150921002859

Medical Identifiers

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

Identifier	Type	State	Issuer
1285019695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP8000 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Comprehensive Rehab Consultants Pllc	6800220682	248

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 Vickroy allows following entities to bill medicare on his behalf.

Entity Name	Valley Physical Medicine & Rehabilitation, P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508819228 PECOS PAC ID: 7911896386 Enrollment ID: O20040312001182

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

Entity Name	Comprehensive Rehab Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20221018001368

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 Vickroy 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 Vickroy, FNP 222 W Thomas Rd Ste 114, Phoenix, AZ 85013-4420 Ph: (602) 406-4578	Kenneth Vickroy, FNP 222 W Thomas Rd Ste 114, Phoenix, AZ 85013-4420 Ph: (602) 406-4578

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Dr. Monica Nassim Jeffers, NMD, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1732 E Sheena Dr, Phoenix, AZ 85022 Phone: 602-330-3420
Mrs. Kristin Carol Kolodziej, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 E Rose Garden Ln Unit 71351, Phoenix, AZ 85050 Phone: 480-448-0356 Fax: 480-870-1675
Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22044 N 44th St Ste 200, Phoenix, AZ 85050 Phone: 602-257-7673 Fax: 602-257-7344
Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595

Kenneth Vickroy, FNP - Medicare Nurse Practitioner in Phoenix, AZ