Kelly D'angelo, NP is a medicare enrolled "Nurse Practitioner" physician in Worcester, 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 Umass Memorial Medical Group Inc and her current practice location is
55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 856-1168.
Kelly D'angelo is licensed to practice in Massachusetts (license number RN2266901) 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 1811586951.
Physician's Profile
| Full Name | Kelly D'angelo |
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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 | 55 Lake Ave N, Worcester, 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:
- Kelly D'angelo graduated from medical school in 2020
NPI Data:
- NPI Number: 1811586951
- Provider Enumeration Date: 01/13/2021
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476968538
- Enrollment ID: I20210223001423
Medical Identifiers
Medical identifiers for Kelly D'angelo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811586951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0127X | Surgery - Trauma Surgery | RN2266901 (Massachusetts) | Secondary |
| 363L00000X | Nurse Practitioner | RN2266901 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Umass Memorial Medical Group Inc | 4284539891 | 1898 |
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. Kelly D'angelo allows following entities to bill medicare on her behalf.
| Entity Name | Umass Memorial Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267 |
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| Entity Name | Integral Health Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679183545
PECOS PAC ID: 2264842087
Enrollment ID: O20201106001479 |
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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. Kelly D'angelo 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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Kelly D'angelo, NP
Po Box 415348,
Boston, MA 02241-5348
Ph: () - | Kelly D'angelo, NP
55 Lake Ave N,
Worcester, MA 01655-0002
Ph: (508) 856-1168 |
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