Mrs Nicola Juanita Mckellop, FNP is a medicare enrolled "Nurse Practitioner" physician in Montebello, California. Her current practice location is
2425 W Whittier Blvd, Montebello, California. You can reach out to her office (for appointments etc.) via phone at
(909) 481-7340.
Mrs Nicola Juanita Mckellop is licensed to practice in California (license number 95008214) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538600549.
Physician's Profile
Full Name | Mrs Nicola Juanita Mckellop |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Location | 2425 W Whittier Blvd, Montebello, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538600549
- Provider Enumeration Date: 03/10/2017
- Last Update Date: 08/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193002681
- Enrollment ID: I20240514002495
Medical Identifiers
Medical identifiers for Mrs Nicola Juanita Mckellop such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538600549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 1417346388 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 95008214 (California) | Primary |
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 Nicola Juanita Mckellop allows following entities to bill medicare on her behalf.
Entity Name | American Current Care Of California A Medical Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
---|
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 Nicola Juanita Mckellop 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 Nicola Juanita Mckellop, FNP 15982 Parkhouse Dr Unit 3, Fontana, CA 92336-6156 Ph: (626) 314-0346 | Mrs Nicola Juanita Mckellop, FNP 2425 W Whittier Blvd, Montebello, CA 90640-3040 Ph: (909) 481-7340 |
Reviews and Comments