Kelley Danielle Fry, MSN, CRNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Hoover, Alabama. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Immediate Care, Llc and her current practice location is
1989 Montgomery Hwy, Hoover, Alabama. You can reach out to her office (for appointments etc.) via phone at
(659) 599-9512.
Kelley Danielle Fry is licensed to practice in Alabama (license number 1-143836) 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 1922674035.
Physician's Profile
| Full Name | Kelley Danielle Fry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1989 Montgomery Hwy, Hoover, Alabama |
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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:
- Kelley Danielle Fry graduated from medical school in 2021
NPI Data:
- NPI Number: 1922674035
- Provider Enumeration Date: 05/29/2021
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820498314
- Enrollment ID: I20210621003529
Medical Identifiers
Medical identifiers for Kelley Danielle Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922674035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 1-143836 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-143836 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Immediate Care, Llc | 6103114087 | 29 |
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. Kelley Danielle Fry allows following entities to bill medicare on her behalf.
| Entity Name | American Family Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157 |
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| Entity Name | Southern Immediate Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467909978
PECOS PAC ID: 6103114087
Enrollment ID: O20161010000102 |
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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. Kelley Danielle Fry 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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Kelley Danielle Fry, MSN, CRNP, FNP-BC
1989 Montgomery Hwy,
Hoover, AL 35244-1112
Ph: (659) 599-9512 | Kelley Danielle Fry, MSN, CRNP, FNP-BC
1989 Montgomery Hwy,
Hoover, AL 35244-1112
Ph: (659) 599-9512 |
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