Kaelyn R Betts, CRNP is a medicare enrolled "Nurse Practitioner" in Conneaut Lake, Pennsylvania. Her current practice location is
8507 State Higway 285, Conneaut Lake, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 382-5703.
Kaelyn R Betts is licensed to practice in Pennsylvania (license number SP026874) 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 1275233579.
Provider's Profile
Full Name | Kaelyn R Betts |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 8507 State Higway 285, Conneaut Lake, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275233579
- Provider Enumeration Date: 03/06/2023
- Last Update Date: 06/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547634800
- Enrollment ID: I20230328001761
Medical Identifiers
Medical identifiers for Kaelyn R Betts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275233579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | SP026874 (Pennsylvania) | 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. Kaelyn R Betts allows following entities to bill medicare on her behalf.
Entity Name | Primary Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962804955 PECOS PAC ID: 0244452258 Enrollment ID: O20141106001537 |
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Entity Name | Titusville Area Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1962964981 PECOS PAC ID: 8022907575 Enrollment ID: O20190603002047 |
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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. Kaelyn R Betts 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 |
Kaelyn R Betts, CRNP 1034 Grove St, Meadville, PA 16335-2945 Ph: (814) 382-5703 | Kaelyn R Betts, CRNP 8507 State Higway 285, Conneaut Lake, PA 16316-1120 Ph: (814) 382-5703 |
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