Allysen Kelly, NP in Gilbert, AZ - Medicare Nurse Practitioner

Allysen Kelly, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gilbert, Arizona. Her current practice location is 2077 E Willis Rd, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 587-1147.

Allysen Kelly is licensed to practice in Arizona (license number AP10040) 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 1689101362.

Contact Information

	Allysen Kelly, NP
	2077 E Willis Rd, Gilbert, AZ 85297-2087
	(928) 587-1147
	Not Available

Map and Direction

Provider's Profile

Full Name	Allysen Kelly
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2077 E Willis Rd, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689101362
Provider Enumeration Date: 05/12/2017
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7012382476
Enrollment ID: I20230417002322

Medical Identifiers

Medical identifiers for Allysen Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689101362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP10040 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP10040 (Arizona)	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. Allysen Kelly allows following entities to bill medicare on her behalf.

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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. Allysen 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
Allysen Kelly, NP 2077 E Willis Rd, Gilbert, AZ 85297-2087 Ph: (928) 587-7097	Allysen Kelly, NP 2077 E Willis Rd, Gilbert, AZ 85297-2087 Ph: (928) 587-1147

Reviews and Comments

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Allysen Kelly, NP - Medicare Nurse Practitioner in Gilbert, AZ