Mr Kenneth Nicley, PA in Maynardville, TN - Medicare Physician Assistant

Mr Kenneth Nicley, PA is a medicare enrolled "Physician Assistant" in Maynardville, Tennessee. He went to Lincoln Memorial University Medical Department and graduated in 2013 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Summit Medical Group, Pllc and his current practice location is 149 Durham Dr, Maynardville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 992-2221.

Mr Kenneth Nicley is licensed to practice in Tennessee (license number 2416) 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 1306252598.

Contact Information

	Mr Kenneth Nicley, PA
	149 Durham Dr, Maynardville, TN 37807-2925
	(865) 992-2221
	(865) 992-2251

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Nicley
Gender	Male
Speciality	Physician Assistant
Experience	12 Years
Location	149 Durham Dr, Maynardville, Tennessee
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:

Mr Kenneth Nicley attended and graduated from Lincoln Memorial University Medical Department in 2013

NPI Data:

NPI Number: 1306252598
Provider Enumeration Date: 07/08/2014
Last Update Date: 01/21/2015

Medicare PECOS Information:

PECOS PAC ID: 0143449413
Enrollment ID: I20140918001192

Medical Identifiers

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

Identifier	Type	State	Issuer
1306252598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2416 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Of Tennessee	Tazewell, TN	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group, Pllc	2860396330	516

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. Mr Kenneth Nicley 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
Mr Kenneth Nicley, PA 1225 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2604 Ph: (865) 584-4747	Mr Kenneth Nicley, PA 149 Durham Dr, Maynardville, TN 37807-2925 Ph: (865) 992-2221

Reviews and Comments

Physician Assistant Nurses in Maynardville, TN

Ms. Paula Renee Miksa, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 598 John Deere Drive, Maynardville, TN 37807 Phone: 865-992-6060
Holly Apodaca, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 598 John Deere Dr, Maynardville, TN 37807 Phone: 865-992-6060

Mr Kenneth Nicley, PA - Medicare Physician Assistant in Maynardville, TN