Kiley Selman Mclendon, FNP in Monticello, MS - Medicare Nurse Practitioner

Kiley Selman Mclendon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Monticello, Mississippi. Her current practice location is 1065 E Broad St, Monticello, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 587-4051.

Kiley Selman Mclendon is licensed to practice in Mississippi (license number R871957) 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 1780849109.

Contact Information

	Kiley Selman Mclendon, FNP
	1065 E Broad St, Monticello, MS 39654-7703
	(601) 587-4051
	(601) 587-1256

Map and Direction

Provider's Profile

Full Name	Kiley Selman Mclendon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1065 E Broad St, Monticello, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780849109
Provider Enumeration Date: 07/24/2008
Last Update Date: 05/15/2025

Medicare PECOS Information:

PECOS PAC ID: 7113095407
Enrollment ID: I20081014000670

Medical Identifiers

Medical identifiers for Kiley Selman Mclendon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780849109	NPI	-	NPPES
01452240	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R871957 (Mississippi)	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. Kiley Selman Mclendon allows following entities to bill medicare on her behalf.

Entity Name	Covington County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816

Entity Name	Southwest Mississippi Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245289172 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000089

Entity Name	Southwest Mississippi Regional Medical Center
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1932211851 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000285

Entity Name	Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598449167 PECOS PAC ID: 4880053271 Enrollment ID: O20230703001304

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. Kiley Selman Mclendon 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
Kiley Selman Mclendon, FNP Po Box 490, Mccomb, MS 39649-0490 Ph: (601) 587-1433	Kiley Selman Mclendon, FNP 1065 E Broad St, Monticello, MS 39654-7703 Ph: (601) 587-4051

Reviews and Comments

Nurse Practitioner Nurses in Monticello, MS

Mrs. Rebecca Hussey Burris, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 F. E. Sellers Highway, Monticello, MS 39654 Phone: 601-587-4648 Fax: 601-587-0613
Becky Jan Mercier, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256
Molly Grubbs Mayhugh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Main St Ste D, Monticello, MS 39654 Phone: 601-587-4304 Fax: 601-587-4515
Genie B Vaughan, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256
Julie M Thomas, PMNHP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 149 Jefferson St S Ste A, Monticello, MS 39654 Phone: 601-393-1953 Fax: 833-449-2018
Jacentha Latress Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 271 F E Sellers Hwy, Monticello, MS 39654 Phone: 601-582-5805
Rhonda Joyce Thomas, FNP-C, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256

Kiley Selman Mclendon, FNP - Medicare Nurse Practitioner in Monticello, MS