Kelley J Peters, NP is a medicare enrolled "Nurse Practitioner - Family" in Antwerp, Ohio. Her current practice location is
107 Buffalo Street, Antwerp, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 258-5641.
Kelley J Peters is licensed to practice in Tennessee (license number 25358) 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 1639573694.
Provider's Profile
| Full Name | Kelley J Peters |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 107 Buffalo Street, Antwerp, Ohio |
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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:
- Kelley J Peters attended and graduated from in
NPI Data:
- NPI Number: 1639573694
- Provider Enumeration Date: 10/20/2014
- Last Update Date: 11/08/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelley J Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639573694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 28145162A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71005210A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | COA16762 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 25358 (Tennessee) | Primary |
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. Kelley J Peters 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 |
|---|
Kelley J Peters, NP
Po Box 1047, 107 Buffalo Street,
Antwerp, OH 45813-1047
Ph: (419) 258-5641 | Kelley J Peters, NP
107 Buffalo Street,
Antwerp, OH 45813-1047
Ph: (419) 258-5641 |
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