Dustin Kelly, FNP-C in Grenada, MS - Medicare Nurse Practitioner

Dustin Kelly, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Grenada, Mississippi. Her current practice location is 1117 Sunset Dr Ste 101, Grenada, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 226-1168.

Dustin Kelly is licensed to practice in Mississippi (license number 906082) 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 1942987664.

Contact Information

	Dustin Kelly, FNP-C
	1117 Sunset Dr Ste 101, Grenada, MS 38901-4080
	(662) 226-1168
	Not Available

Map and Direction

Provider's Profile

Full Name	Dustin Kelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1117 Sunset Dr Ste 101, Grenada, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942987664
Provider Enumeration Date: 07/04/2023
Last Update Date: 07/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3577919786
Enrollment ID: I20231024003709

Medical Identifiers

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

Identifier	Type	State	Issuer
1942987664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	899168 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	906082 (Mississippi)	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. Dustin Kelly allows following entities to bill medicare on her behalf.

Entity Name	Joseph F Roberts Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629269709 PECOS PAC ID: 7012942253 Enrollment ID: O20050927000989

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. Dustin 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
Dustin Kelly, FNP-C 2055 County Road 240, Greenwood, MS 38930-6995 Ph: (662) 299-5796	Dustin Kelly, FNP-C 1117 Sunset Dr Ste 101, Grenada, MS 38901-4080 Ph: (662) 226-1168

Reviews and Comments

Nurse Practitioner Nurses in Grenada, MS

Kelsey Marter Faulkner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 965 Avent Dr, Grenada, MS 38901 Phone: 601-815-2005
Mrs. Agnes Pamela Upchurch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901 Phone: 662-229-0669 Fax: 662-227-9929
Mrs. Ashley Nicole Woods, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Broadfield Dr, Grenada, MS 38901 Phone: 662-809-2419
Latia Monanette Butts, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-349-2442 Fax: 662-349-8551
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 Fax: 662-227-3740
Alison Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901 Phone: 662-226-0110
Ralph T Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104

Dustin Kelly, FNP-C - Medicare Nurse Practitioner in Grenada, MS