Kelley Lavine, APRN in Worcester, MA - Medicare Nurse Practitioner

Kelley Lavine, APRN is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Worcester, Massachusetts. Her current practice location is 119 Belmont St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 334-6206.

Kelley Lavine is licensed to practice in Massachusetts (license number RN246110) 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 1477867455.

Contact Information

	Kelley Lavine, APRN
	119 Belmont St, Worcester, MA 01605-2903
	(508) 334-6206
	(508) 334-6083

Map and Direction

Provider's Profile

Full Name	Kelley Lavine
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	119 Belmont St, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477867455
Provider Enumeration Date: 08/02/2010
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 0941106777
Enrollment ID: I20031217000112

Medical Identifiers

Medical identifiers for Kelley Lavine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477867455	NPI	-	NPPES
110127839A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN246110 (Massachusetts)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	APRN01247 (Rhode Island)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	CNPP37216 (Rhode Island)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	RN246110 (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. Kelley Lavine allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

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 Lavine 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 Lavine, APRN Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Kelley Lavine, APRN 119 Belmont St, Worcester, MA 01605-2903 Ph: (508) 334-6206

Reviews and Comments

Nurse Practitioner Nurses in Worcester, MA

Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470

Kelley Lavine, APRN - Medicare Nurse Practitioner in Worcester, MA