Carly Elizabeth Kessinger, is a medicare enrolled "Nurse Practitioner - Family" physician in Jeffersonville, Indiana. Her current practice location is
3118 E 10th St, Jeffersonville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 282-6979.
Carly Elizabeth Kessinger is licensed to practice in Indiana (license number 71014514A) 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 1205618410.
Physician's Profile
Full Name | Carly Elizabeth Kessinger |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3118 E 10th St, Jeffersonville, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205618410
- Provider Enumeration Date: 10/23/2023
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779932439
- Enrollment ID: I20231207001037
Medical Identifiers
Medical identifiers for Carly Elizabeth Kessinger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205618410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 71014514A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71014514A (Indiana) | 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. Carly Elizabeth Kessinger allows following entities to bill medicare on her behalf.
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437382074 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
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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. Carly Elizabeth Kessinger 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 |
Carly Elizabeth Kessinger, Po Box 776351, Chicago, IL 60677-5904 Ph: (502) 588-9490 | Carly Elizabeth Kessinger, 3118 E 10th St, Jeffersonville, IN 47130-5904 Ph: (812) 282-6979 |
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