Ms Susan M Kelly, NNP in Baltimore, MD

Ms Susan M Kelly, NNP is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Baltimore, Maryland. Her current practice location is 900 S Caton Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (667) 234-6000.

Ms Susan M Kelly is licensed to practice in Maryland (license number R239962) 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 1679114581.

Contact Information

	Ms Susan M Kelly, NNP
	900 S Caton Ave, Baltimore, MD 21229-5201
	(667) 234-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Ms Susan M Kelly
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	900 S Caton Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679114581
Provider Enumeration Date: 10/01/2019
Last Update Date: 10/01/2019

Medicare PECOS Information:

PECOS PAC ID: 1355673872
Enrollment ID: I20191031003109

Medical Identifiers

Medical identifiers for Ms Susan M Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679114581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	R239962 (Maryland)	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. Ms Susan M Kelly allows following entities to bill medicare on her behalf.

Entity Name	St. Agnes Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144250176 PECOS PAC ID: 9830092733 Enrollment ID: O20040128001146

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. Ms Susan M Kelly 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
Ms Susan M Kelly, NNP 561 Hook Rd, Westminster, MD 21157-5963 Ph: (315) 430-2066	Ms Susan M Kelly, NNP 900 S Caton Ave, Baltimore, MD 21229-5201 Ph: (667) 234-6000

Reviews and Comments

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Milagritos D Tapia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6749 Fax: 410-328-6136

Ms Susan M Kelly, NNP - Medicare Pediatrics in Baltimore, MD