Joan Kelley, is a medicare enrolled "Nurse Practitioner - Family" in Minooka, Illinois. Her current practice location is
309 Rivers Edge Dr, Minooka, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 735-1408.
Joan Kelley is licensed to practice in Illinois (license number 209012858) 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 1205210143.
Provider's Profile
| Full Name | Joan Kelley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 309 Rivers Edge Dr, Minooka, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205210143
- Provider Enumeration Date: 07/09/2015
- Last Update Date: 07/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 0042511701
- Enrollment ID: I20151222001886
Medical Identifiers
Medical identifiers for Joan Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205210143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209012858 (Illinois) | 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. Joan Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064 |
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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. Joan 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 |
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Joan Kelley,
309 Rivers Edge Dr,
Minooka, IL 60447-9397
Ph: (815) 735-1408 | Joan Kelley,
309 Rivers Edge Dr,
Minooka, IL 60447-9397
Ph: (815) 735-1408 |
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