Ivy Huang Kelly, FNP-C, RN in Raynham, MA - Medicare Nurse Practitioner

Ivy Huang Kelly, FNP-C, RN is a medicare enrolled "Nurse Practitioner - Family" in Raynham, Massachusetts. Her current practice location is 266 New State Hwy, Raynham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 824-1361.

Ivy Huang Kelly is licensed to practice in Massachusetts (license number RN2321978) 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 1326656950.

Contact Information

	Ivy Huang Kelly, FNP-C, RN
	266 New State Hwy, Raynham, MA 02767-5446
	(508) 824-1361
	Not Available

Map and Direction

Provider's Profile

Full Name	Ivy Huang Kelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	266 New State Hwy, Raynham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326656950
Provider Enumeration Date: 07/20/2020
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 8820466683
Enrollment ID: I20221129000729

Medical Identifiers

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

Identifier	Type	State	Issuer
1326656950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2321978 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	RN2321978 (Massachusetts)	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. Ivy Huang Kelly allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Massachusetts, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457470858 PECOS PAC ID: 2264594944 Enrollment ID: O20081215000803

Entity Name	Minuteclinic Diagnostic Of Massachusetts, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457470858 PECOS PAC ID: 2264594944 Enrollment ID: O20081216000739

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. Ivy Huang 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
Ivy Huang Kelly, FNP-C, RN 115 Beach St, Wrentham, MA 02093-1540 Ph: (626) 202-2482	Ivy Huang Kelly, FNP-C, RN 266 New State Hwy, Raynham, MA 02767-5446 Ph: (508) 824-1361

Reviews and Comments

Nurse Practitioner Nurses in Raynham, MA

Ms. Belinda Mary Cyprien, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 Diniz Dr, Raynham, MA 02767 Phone: 781-535-8266
Deborah Worthington, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Paramount Dr Ste 301, Raynham, MA 02767 Phone: 401-457-1500
Ileana Mather, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Paramount Dr Ste 205, Raynham, MA 02767 Phone: 617-798-6500
Ms. Deborah Tremblay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 416 Broadway, Raynham, MA 02767 Phone: 508-828-5020 Fax: 866-262-4460
Jessica Rose Grusmark, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 Us Highway 44, Raynham, MA 02767 Phone: 508-824-1361
Renee E Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Broadway, Raynham, MA 02767 Phone: 508-894-0400 Fax: 508-697-9396
Amanda Costa, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Broadway, Raynham, MA 02767 Phone: 508-894-0400

Ivy Huang Kelly, FNP-C, RN - Medicare Nurse Practitioner in Raynham, MA