Mrs Kelly K Land, CFNP in Jackson, MS - Medicare Nurse Practitioner

Mrs Kelly K Land, CFNP is a medicare enrolled "Nurse Practitioner" physician in Jackson, Mississippi. She graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 2500 North State St, Department Of Medicine Division Of General Internal Med, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5660.

Mrs Kelly K Land is licensed to practice in Mississippi (license number R855212) 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 1154369700.

Contact Information

	Mrs Kelly K Land, CFNP
	2500 North State St, Department Of Medicine Division Of General Internal Med, Jackson, MS 39216
	(601) 984-5660
	(601) 984-6870

Map and Direction

Physician's Profile

Full Name	Mrs Kelly K Land
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	2500 North State St, Jackson, Mississippi
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:

Mrs Kelly K Land graduated from medical school in 2001

NPI Data:

NPI Number: 1154369700
Provider Enumeration Date: 06/04/2006
Last Update Date: 04/10/2014

Medicare PECOS Information:

PECOS PAC ID: 4587753454
Enrollment ID: I20071129000370

Medical Identifiers

Medical identifiers for Mrs Kelly K Land such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154369700	NPI	-	NPPES
0124222	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R855212 (Mississippi)	Secondary
363L00000X	Nurse Practitioner	R855212 (Mississippi)	Primary
363LF0000X	Nurse Practitioner - Family	R855212 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Med Center	Jackson, MS	Hospital
Mississippi Methodist Rehab Ctr	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	782

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. Mrs Kelly K Land allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Mrs Kelly K Land 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
Mrs Kelly K Land, CFNP 2500 N State St, Dept Of Medicine, Jackson, MS 39216-4500 Ph: (601) 984-5660	Mrs Kelly K Land, CFNP 2500 North State St, Department Of Medicine Division Of General Internal Med, Jackson, MS 39216 Ph: (601) 984-5660

Mrs Kelly K Land, CFNP - Medicare Nurse Practitioner in Jackson, MS