Ellen L Kelley, NP in Rancho Mirage, CA - Medicare Nurse Practitioner

Ellen L Kelley, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Rancho Mirage, California. Her current practice location is 72780 Country Club Dr, Bldg B 203, Rancho Mirage, California. You can reach out to her office (for appointments etc.) via phone at (760) 674-3847.

Ellen L Kelley is licensed to practice in California (license number 300549) 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 1588878623.

Contact Information

	Ellen L Kelley, NP
	72780 Country Club Dr, Bldg B 203, Rancho Mirage, CA 92270-4126
	(760) 674-3847
	(760) 674-3845

Map and Direction

Provider's Profile

Full Name	Ellen L Kelley
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	72780 Country Club Dr, Rancho Mirage, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588878623
Provider Enumeration Date: 05/09/2007
Last Update Date: 02/25/2016

Medicare PECOS Information:

PECOS PAC ID: 0143315895
Enrollment ID: I20070926001084

Medical Identifiers

Medical identifiers for Ellen L Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588878623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	300549 (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. Ellen L Kelley allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	Executive Urgent Care Of Indian Wells
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801181961 PECOS PAC ID: 0042456212 Enrollment ID: O20130412000154

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. Ellen L 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
Ellen L Kelley, NP 72780 Country Club Dr, Bldg B 203, Rancho Mirage, CA 92270-4126 Ph: (760) 674-3847	Ellen L Kelley, NP 72780 Country Club Dr, Bldg B 203, Rancho Mirage, CA 92270-4126 Ph: (760) 674-3847

Reviews and Comments

Nurse Practitioner Nurses in Rancho Mirage, CA

Ervin Xhufka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8542 Fax: 760-837-8543
Ms. Rosie Knauf, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911
Cynthia Jovanov, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-773-1885
Richard Pessagno, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8767 Fax: 760-837-8806
Maria Florina Aleth D Mangosing Ignacio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, Rancho Mirage, CA 92270 Phone: 760-837-8535
Dr. Leesa Simanton Booth, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Calle De Las Rosas, Rancho Mirage, CA 92270 Phone: 760-578-3601
April Marie Lopez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-346-7655 Fax: 760-346-3037

Ellen L Kelley, NP - Medicare Nurse Practitioner in Rancho Mirage, CA