Ms Sandra Kilburn Daniel, ACNP-BC - Medicare Nurse Practitioner in Fayetteville, TN

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Ms Sandra Kilburn Daniel, ACNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, Tennessee. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Maury Regional Medical Group, Inc and her current practice location is 106 Medical Center Blvd, Fayetteville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 438-1100.

Ms Sandra Kilburn Daniel is licensed to practice in Iowa (license number A158353) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992947568.

Contact Information

Ms Sandra Kilburn Daniel, ACNP-BC
106 Medical Center Blvd,
Fayetteville, TN 37334-2684
(931) 438-1100
Not Available

Map and Direction




Provider's Profile

Full NameMs Sandra Kilburn Daniel
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location106 Medical Center Blvd, Fayetteville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Sandra Kilburn Daniel graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1992947568
  • Provider Enumeration Date: 03/29/2009
  • Last Update Date: 01/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5294866067
  • Enrollment ID: I20100623000872

Medical Identifiers

Medical identifiers for Ms Sandra Kilburn Daniel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992947568NPI-NPPES
1518500MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A158353 (Iowa)Primary
363LA2100XNurse Practitioner - Acute Care 14014 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 239300 (Arizona)Secondary
363LF0000XNurse Practitioner - Family 14014 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marshall Medical CenterLewisburg, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maury Regional Medical Group, Inc7911810742101

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. Ms Sandra Kilburn Daniel allows following entities to bill medicare on her behalf.
Entity NameMaury Regional Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252
Entity NameMaury Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861479545
PECOS PAC ID: 4688569718
Enrollment ID: O20040330001709
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameHigh Forest Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326392135
PECOS PAC ID: 5395998959
Enrollment ID: O20130109000613
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159

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. Ms Sandra Kilburn Daniel 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 AddressPractice Location Address
Ms Sandra Kilburn Daniel, ACNP-BC
910 Hillcrest St,
Lawrenceburg, TN 38464-4048

Ph: (931) 762-6875		Ms Sandra Kilburn Daniel, ACNP-BC
106 Medical Center Blvd,
Fayetteville, TN 37334-2684

Ph: (931) 438-1100

Reviews and Comments


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Augusta Nell Pierce, FNP-BC
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Julie L Styles, CRNP
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Practice Location: 1321 Huntsville Hwy, Fayetteville, TN 37334
Phone: 931-297-2201    Fax: 931-297-2206

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.