Ms Tequila J Staten, APRN in Bowling Green, KY

Ms Tequila J Staten, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bowling Green, Kentucky. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gilbert Barbee Moore And Mcilvoy Psc and her current practice location is 5796 Nashville Rd, Bowling Green, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 781-6477.

Ms Tequila J Staten is licensed to practice in Kentucky (license number 3006238) 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 1043549918.

Contact Information

	Ms Tequila J Staten, APRN
	5796 Nashville Rd, Bowling Green, KY 42101
	(270) 781-6477
	(270) 781-6479

Map and Direction

Provider's Profile

Full Name	Ms Tequila J Staten
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	5796 Nashville Rd, Bowling Green, Kentucky
Accepts Medicare Assignments	Yes. 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 Tequila J Staten graduated from nursing school in 2009

NPI Data:

NPI Number: 1043549918
Provider Enumeration Date: 12/23/2009
Last Update Date: 04/04/2019

Medicare PECOS Information:

PECOS PAC ID: 7911023122
Enrollment ID: I20100924000996

Medical Identifiers

Medical identifiers for Ms Tequila J Staten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043549918	NPI	-	NPPES
7100170760	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3006238 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gilbert Barbee Moore And Mcilvoy Psc	4082511167	223

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 Tequila J Staten allows following entities to bill medicare on her behalf.

Entity Name	Gilbert Barbee Moore & Mcilvoy Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114948288 PECOS PAC ID: 4082511167 Enrollment ID: O20031217000136

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 Tequila J Staten 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
Ms Tequila J Staten, APRN 201 Park St, Bowling Green, KY 42101-1759 Ph: (270) 781-5111	Ms Tequila J Staten, APRN 5796 Nashville Rd, Bowling Green, KY 42101 Ph: (270) 781-6477

Reviews and Comments

Nurse Practitioner Nurses in Bowling Green, KY

Marcia Atherton, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1048 Ashley St Ste 103a, Bowling Green, KY 42103 Phone: 270-599-0958
Mrs. Kamala Mechelle Brooks, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1777 Ashley Cir, Bowling Green, KY 42104 Phone: 270-781-4090
Paula Devore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103 Phone: 270-745-7246 Fax: 270-282-2027
Mrs. Demara Andrea Goodrich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Fairway St, Bowling Green, KY 42103 Phone: 270-781-3910
Mrs. Shellie D Hardcastle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1808 Fax: 270-796-5516
Louise Elizabeth Webb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111
Dawn Garrett -wright, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Park Street Ste 204, Psychiatric Associates, Bowling Green, KY 42101 Phone: 270-843-5103

Ms Tequila J Staten, APRN - Medicare Nurse Practitioner in Bowling Green, KY