Caitlin Marie Kelly, is a medicare enrolled "Nurse Practitioner - Family" physician in Brookline, Massachusetts. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc and her current practice location is
1 Brookline Pl Ste 406, Brookline, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 278-8000.
Caitlin Marie Kelly is licensed to practice in Massachusetts (license number F02200556) 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 1992320212.
Physician's Profile
| Full Name | Caitlin Marie Kelly |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1 Brookline Pl Ste 406, Brookline, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Caitlin Marie Kelly graduated from medical school in 2020
NPI Data:
- NPI Number: 1992320212
- Provider Enumeration Date: 06/12/2020
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901202522
- Enrollment ID: I20210908000674
Medical Identifiers
Medical identifiers for Caitlin Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992320212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | RN2304227 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F02200556 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1337 |
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. Caitlin Marie Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093756629
PECOS PAC ID: 4486567104
Enrollment ID: O20040315000395 |
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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. Caitlin Marie Kelly 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 |
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Caitlin Marie Kelly,
1 Brookline Pl Ste 406,
Brookline, MA 02445-7296
Ph: (617) 278-8080 | Caitlin Marie Kelly,
1 Brookline Pl Ste 406,
Brookline, MA 02445-7296
Ph: (617) 278-8000 |
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