Holley Nanette Kelley, DO - Medicare Family Medicine in Lake Charles, LA

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Holley Nanette Kelley, DO is a medicare enrolled "Family Medicine" physician in Lake Charles, Louisiana. Her current practice location is 4345 Nelson Rd, Lake Charles, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 480-7900.

Holley Nanette Kelley is licensed to practice in Louisiana (license number DO.000350) 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 1225234701.

Contact Information

Holley Nanette Kelley, DO
4345 Nelson Rd,
Lake Charles, LA 70605-4119
(337) 480-7900
(337) 480-7901

Map and Direction




Physician's Profile

Full NameHolley Nanette Kelley
GenderFemale
SpecialityFamily Medicine
Location4345 Nelson Rd, Lake Charles, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225234701
  • Provider Enumeration Date: 06/22/2007
  • Last Update Date: 09/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5496934572
  • Enrollment ID: I20140329000051

Medical Identifiers

Medical identifiers for Holley Nanette Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225234701NPI-NPPES
2355392MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0534293 (Kansas)Secondary
207Q00000XFamily Medicine DO.000350 (Louisiana)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. Holley Nanette Kelley allows following entities to bill medicare on her behalf.
Entity NameLake Charles Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306135892
PECOS PAC ID: 1052580644
Enrollment ID: O20110817000061

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. Holley Nanette Kelley 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
Holley Nanette Kelley, DO
Po Box123594, Dept 2394,
Dallas, TX 75312-3594

Ph: (337) 480-7900		Holley Nanette Kelley, DO
4345 Nelson Rd,
Lake Charles, LA 70605-4119

Ph: (337) 480-7900

Reviews and Comments


Family Medicine Doctors in Lake Charles, LA

Dr. Benjamin Bryce Williams, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 771 E Bayou Pines Dr, Lake Charles, LA 70601
Phone: 337-433-1212    Fax: 337-433-0736
Dr. Michael Kevin Seep, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2750 Aster St, Lake Charles, LA 70601
Phone: 337-480-8900    Fax: 337-480-8901
Dr. Melissa Lalande Rasberry, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605
Phone: 337-474-2856    Fax: 337-480-0645
Micah Leleux, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 217 Sam Houston Jones Pkwy Ste 104, Lake Charles, LA 70611
Phone: 337-480-8989    Fax: 337-480-8988
Kira Racine Groves, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2750 Aster St, Lake Charles, LA 70601
Phone: 337-480-8900    Fax: 337-480-8901
Dr. Jason P Hagen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Walters St, Lake Charles, LA 70607
Phone: 337-480-8066    Fax: 337-480-8061
Clint Nickolas Lincoln, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10071 Gulf Hwy, Lake Charles, LA 70607
Phone: 337-905-2151    Fax: 337-905-2154

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.