Coreen Kelly, - Medicare Nurse Practitioner in Deland, FL

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Coreen Kelly, is a medicare enrolled "Nurse Practitioner" in Deland, Florida. Her current practice location is 701 W Plymouth Ave, Deland, Florida. You can reach out to her office (for appointments etc.) via phone at (518) 409-3502.

Coreen Kelly is licensed to practice in Florida (license number APRN11006345) 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 1790319994.

Contact Information

Coreen Kelly,
701 W Plymouth Ave,
Deland, FL 32720-3236
(518) 409-3502
Not Available

Map and Direction




Provider's Profile

Full NameCoreen Kelly
GenderFemale
SpecialityNurse Practitioner
Location701 W Plymouth Ave, Deland, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790319994
  • Provider Enumeration Date: 02/26/2020
  • Last Update Date: 02/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082090238
  • Enrollment ID: I20220926003034

Medical Identifiers

Medical identifiers for Coreen Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790319994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11006345 (Florida)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. Coreen Kelly allows following entities to bill medicare on her behalf.
Entity NameDna Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609117647
PECOS PAC ID: 7618108978
Enrollment ID: O20140331000084
Entity NamePain And Spine Specialists Of Maryland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174884258
PECOS PAC ID: 2668628124
Enrollment ID: O20220609002285

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. Coreen 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 AddressPractice Location Address
Coreen Kelly,
1862 Silver Fern Rd,
Port Orange, FL 32128-6741

Ph: (518) 409-3502		Coreen Kelly,
701 W Plymouth Ave,
Deland, FL 32720-3236

Ph: (518) 409-3502

Reviews and Comments


Nurse Practitioner Nurses in Deland, FL

Deborah Vega Darnell, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 999 W Plymouth Ave, Deland, FL 32720
Phone: 386-740-7080    Fax: 386-734-0821
Dr. Mary Theresa Izzo, PHD, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 999 W Plymouth Ave, Deland, FL 32720
Phone: 386-740-7080    Fax: 386-734-0821
Lisa Cunningham, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 685 Peachwood Dr, Deland, FL 32720
Phone: 386-736-3463    Fax: 386-736-3492
Mrs. Rachel Ellen Hart, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 937 N Spring Garden Ave, Deland, FL 32720
Phone: 386-736-1948    Fax: 386-734-4571
Ms. Carmelia Maria Lee, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2370 E International Speedway Blvd, Deland, FL 32724
Phone: 386-736-1105    Fax: 386-734-1443
Mrs. Danielle Renee Miller, AGACNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 31234 Lakeside Dr, Deland, FL 32720
Phone: 717-247-9054    
Mallory M Gustafson, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 632 E Victoria Trails Blvd, Deland, FL 32724
Phone: 970-443-0948    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.