Katherine T Kelley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bainbridge, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Grady General Hospital and her current practice location is
1500 E Shotwell St, Bainbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at
(334) 279-1450.
Katherine T Kelley is licensed to practice in Georgia (license number RN213485) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770981086.
Provider's Profile
| Full Name | Katherine T Kelley |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 10 Years |
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| Location | 1500 E Shotwell St, Bainbridge, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katherine T Kelley graduated from nursing school in 2014
NPI Data:
- NPI Number: 1770981086
- Provider Enumeration Date: 12/18/2014
- Last Update Date: 06/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 1759608730
- Enrollment ID: I20150401000787
Medical Identifiers
Medical identifiers for Katherine T Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770981086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RN213485 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grady General Hospital | 7618866518 | 24 |
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. Katherine T Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Grady General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013961507
PECOS PAC ID: 7618866518
Enrollment ID: O20040310001254 |
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| Entity Name | Bainbridge Anesthesiology, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518939875
PECOS PAC ID: 3678465002
Enrollment ID: O20040329001150 |
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| Entity Name | Anesthetic Solutions Of Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114567260
PECOS PAC ID: 2163857061
Enrollment ID: O20210729003985 |
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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. Katherine T 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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Katherine T Kelley, CRNA
Po Box 235019,
Montgomery, AL 36123-5019
Ph: (334) 279-1450 | Katherine T Kelley, CRNA
1500 E Shotwell St,
Bainbridge, GA 39819-4256
Ph: (334) 279-1450 |
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