Brittany Kelley, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oak Hills, California. Her current practice location is
6275 Lassen Rd, Oak Hills, California. You can reach out to her office (for appointments etc.) via phone at
(909) 762-9960.
Brittany Kelley is licensed to practice in California (license number 95001891) 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 1619611688.
Provider's Profile
| Full Name | Brittany Kelley |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 6275 Lassen Rd, Oak Hills, California |
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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: 1619611688
- Provider Enumeration Date: 04/25/2022
- Last Update Date: 11/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365812880
- Enrollment ID: I20221228000138
Medical Identifiers
Medical identifiers for Brittany Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619611688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 95067088 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001891 (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. Brittany Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Allied Anesthesia Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346267267
PECOS PAC ID: 6103728407
Enrollment ID: O20040126001001 |
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| Entity Name | Inland Empire Anesthesia Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861502841
PECOS PAC ID: 1052310331
Enrollment ID: O20061214000268 |
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| Entity Name | Liberty Anesthesia Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518626258
PECOS PAC ID: 3870985641
Enrollment ID: O20220128000603 |
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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. Brittany 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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Brittany Kelley,
6275 Lassen Rd,
Oak Hills, CA 92344-9515
Ph: () - | Brittany Kelley,
6275 Lassen Rd,
Oak Hills, CA 92344-9515
Ph: (909) 762-9960 |
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