Kelly Wayt, is a medicare enrolled "Nurse Practitioner" physician in Granville, Ohio. 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 Wound Care Consultants Llc, Global Wound Care Medical Group and her current practice location is
1965 Newark Granville Rd, Granville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 973-1394.
Kelly Wayt is licensed to practice in Ohio (license number APRN.CNP.0028110) 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 1609465616.
Physician's Profile
Full Name | Kelly Wayt |
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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 | 1965 Newark Granville Rd, Granville, Ohio |
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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. |
Medical Education and Training:
- Kelly Wayt graduated from medical school in 2020
NPI Data:
- NPI Number: 1609465616
- Provider Enumeration Date: 01/14/2021
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709282304
- Enrollment ID: I20210907003452
Medical Identifiers
Medical identifiers for Kelly Wayt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609465616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | APRN.CNP.0028110 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | APRN.CNP.0028110 (Ohio) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wound Care Consultants Llc | 2567646359 | 24 |
Global Wound Care Medical Group | 9335504539 | 199 |
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 Wayt allows following entities to bill medicare on her behalf.
Entity Name | Wound Care Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831495373 PECOS PAC ID: 2567646359 Enrollment ID: O20110401000409 |
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Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
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Entity Name | Global Wound Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230512001379 |
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Entity Name | American Wound Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20240123001428 |
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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 Wayt 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 |
Kelly Wayt, 160 Van Tassell Ave, Newark, OH 43055-3082 Ph: (740) 973-1394 | Kelly Wayt, 1965 Newark Granville Rd, Granville, OH 43023-9171 Ph: (740) 973-1394 |
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