Christy Kelley, NP is a medicare enrolled "Nurse Practitioner - Family" in Irvington, Illinois. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Medical And Occupational Services Sc and her current practice location is
205 East Huron St., Irvington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 249-6203.
Christy Kelley is licensed to practice in Illinois (license number 209009607) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053666792.
Provider's Profile
| Full Name | Christy Kelley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 205 East Huron St., Irvington, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christy Kelley graduated from nursing school in 2011
NPI Data:
- NPI Number: 1053666792
- Provider Enumeration Date: 07/18/2012
- Last Update Date: 07/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 2961655006
- Enrollment ID: I20130123000422
Medical Identifiers
Medical identifiers for Christy Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053666792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209009607 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Medical And Occupational Services Sc | 3476794496 | 4 |
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. Christy Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Midwest Medical And Occupational Services Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679814305
PECOS PAC ID: 3476794496
Enrollment ID: O20130802000091 |
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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. Christy 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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Christy Kelley, NP
19841 N Iris Ln,
Mount Vernon, IL 62864-8832
Ph: (618) 315-0153 | Christy Kelley, NP
205 East Huron St.,
Irvington, IL 62848
Ph: (618) 249-6203 |
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