Beth A Kelley, NP, CNM is a medicare enrolled "Advanced Practice Midwife" in Sturgis, Michigan. Her current practice location is
1717 E. Chicago Road, Sturgis, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 659-6747.
Beth A Kelley is licensed to practice in Michigan (license number 4704194227) 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 1972724821.
Provider's Profile
| Full Name | Beth A Kelley |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1717 E. Chicago Road, Sturgis, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972724821
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 12/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 3476645680
- Enrollment ID: I20090311000586
Medical Identifiers
Medical identifiers for Beth A Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972724821 | NPI | - | NPPES |
| 000000612032 | Other | IN | BCBS |
| 200932840 | Medicaid | IN | |
| 160G510560 | Other | MI | BCBS GROUP-WOMENS SERVICES |
| 700G560080 | Other | MI | BCBS GROUP-THREE RIVERS HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 4704194227 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704194227 (Michigan) | Secondary |
| 367A00000X | Advanced Practice Midwife | 4704194227 (Michigan) | 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. Beth A Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Medical Group Promed |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497709869
PECOS PAC ID: 7315856077
Enrollment ID: O20031216000478 |
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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. Beth A Kelley 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 |
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Beth A Kelley, NP, CNM
1717 E Chicago Rd,
Sturgis, MI 49091-8524
Ph: (269) 659-6747 | Beth A Kelley, NP, CNM
1717 E. Chicago Road,
Sturgis, MI 49091-2372
Ph: (269) 659-6747 |
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