Kelly Jo Gramm, APN is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Williamstown, New Jersey. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Professional Pain Managment Associates and her current practice location is
2007 N Black Horse Pike, Williamstown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 740-4888.
Kelly Jo Gramm is licensed to practice in New Jersey (license number 26NJ00888400) 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 1265999759.
Physician's Profile
| Full Name | Kelly Jo Gramm |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 2007 N Black Horse Pike, Williamstown, New Jersey |
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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 Jo Gramm graduated from medical school in 2018
NPI Data:
- NPI Number: 1265999759
- Provider Enumeration Date: 02/21/2019
- Last Update Date: 12/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375877731
- Enrollment ID: I20190619001540
Medical Identifiers
Medical identifiers for Kelly Jo Gramm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265999759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 26NJ00888400 (New Jersey) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 26NJ00888400 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Professional Pain Managment Associates | 3577741743 | 6 |
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 Jo Gramm allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Healthcare & Hospice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023323367
PECOS PAC ID: 3375584667
Enrollment ID: O20110228000493 |
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| Entity Name | Professional Pain Managment Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154592103
PECOS PAC ID: 3577741743
Enrollment ID: O20110617000504 |
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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 Jo Gramm 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 Jo Gramm, APN
2007 N Black Horse Pike,
Williamstown, NJ 08094-9120
Ph: (856) 740-4888 | Kelly Jo Gramm, APN
2007 N Black Horse Pike,
Williamstown, NJ 08094-9120
Ph: (856) 740-4888 |
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