Jillian Marie Kelly, NP in Medford, MA - Medicare Nurse Practitioner

Jillian Marie Kelly, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Medford, Massachusetts. Her current practice location is 26 City Hall Mall, Medford, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 306-5304.

Jillian Marie Kelly is licensed to practice in Massachusetts (license number 275375) 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 1083923130.

Contact Information

	Jillian Marie Kelly, NP
	26 City Hall Mall, Medford, MA 02155-4754
	(781) 306-5304
	(781) 306-5227

Map and Direction

Provider's Profile

Full Name	Jillian Marie Kelly
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	26 City Hall Mall, Medford, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083923130
Provider Enumeration Date: 10/06/2010
Last Update Date: 03/27/2021

Medicare PECOS Information:

PECOS PAC ID: 1759560865
Enrollment ID: I20110121000170

Medical Identifiers

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

Identifier	Type	State	Issuer
1083923130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	275375 (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. Jillian Marie Kelly allows following entities to bill medicare on her behalf.

Entity Name	Atrius Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582

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. Jillian Marie 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
Jillian Marie Kelly, NP 26 City Hall Mall, Medford, MA 02155-4754 Ph: (781) 306-5304	Jillian Marie Kelly, NP 26 City Hall Mall, Medford, MA 02155-4754 Ph: (781) 306-5304

Reviews and Comments

Nurse Practitioner Nurses in Medford, MA

Theresa Bui, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Main St Ste 201, Medford, MA 02155 Phone: 781-396-1288
Ellen Diana Klee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Governors Ave, Lawrence Memorial Hospital-diabetes Center, Medford, MA 02155 Phone: 781-306-6370 Fax: 781-306-6375
Mary E Cain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 781-306-5100 Fax: 781-306-5379
Diane Coste, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Suite 110, Medford, MA 02155 Phone: 781-391-2705 Fax: 781-391-2709
Consuela Hartnett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 339-227-5085
Sara Grant, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 137 Main St, Medford, MA 02155 Phone: 781-395-4761 Fax: 781-395-5081

Jillian Marie Kelly, NP - Medicare Nurse Practitioner in Medford, MA