Ms Kiara Janese Malone, is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in Nashville, Tennessee. Her current practice location is
460 Great Circle Rd, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 565-4047.
Ms Kiara Janese Malone is licensed to practice in Tennessee (license number 3025) 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 1164187985.
Healthcare Provider's Profile
| Full Name | Ms Kiara Janese Malone |
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| Gender | Female |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 460 Great Circle Rd, Nashville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164187985
- Provider Enumeration Date: 11/05/2021
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183079650
- Enrollment ID: I20231018003563
Medical Identifiers
Medical identifiers for Ms Kiara Janese Malone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164187985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 14719 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 3025 (Tennessee) | 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. Ms Kiara Janese Malone allows following entities to bill medicare on her behalf.
| Provider Name | Star Physical Therapy Lp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396704094
PECOS PAC ID: 5496662421
Enrollment ID: O20131001000367 |
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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 Kiara Janese Malone 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 Kiara Janese Malone,
1044 Sierra Gorda Dr,
Gallatin, TN 37066-4556
Ph: (423) 580-6714 | Ms Kiara Janese Malone,
460 Great Circle Rd,
Nashville, TN 37228-1404
Ph: (615) 565-4047 |
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