Kelli Brooke Folgheraiter, in Prescott, AZ - Medicare Nurse Practitioner

Kelli Brooke Folgheraiter, is a medicare enrolled "Nurse Practitioner - Family" in Prescott, Arizona. Her current practice location is 2078 Willow Creek Rd, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 776-6400.

Kelli Brooke Folgheraiter is licensed to practice in Arizona (license number 260085) 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 1942973656.

Contact Information

	Kelli Brooke Folgheraiter,
	2078 Willow Creek Rd, Prescott, AZ 86301-5389
	(928) 776-6400
	(855) 633-3142

Map and Direction

Provider's Profile

Full Name	Kelli Brooke Folgheraiter
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2078 Willow Creek Rd, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942973656
Provider Enumeration Date: 07/28/2021
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9931504404
Enrollment ID: I20210826003111

Medical Identifiers

Medical identifiers for Kelli Brooke Folgheraiter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942973656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	260085 (Arizona)	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. Kelli Brooke Folgheraiter allows following entities to bill medicare on her behalf.

Entity Name	Doctor's Office Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770732307 PECOS PAC ID: 8123186939 Enrollment ID: O20081023000301

Entity Name	Thumb Butte Medical Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225260334 PECOS PAC ID: 5890833271 Enrollment ID: O20091104000372

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. Kelli Brooke Folgheraiter 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
Kelli Brooke Folgheraiter, 2078 Willow Creek Rd, Prescott, AZ 86301-5389 Ph: (928) 776-6400	Kelli Brooke Folgheraiter, 2078 Willow Creek Rd, Prescott, AZ 86301-5389 Ph: (928) 776-6400

Reviews and Comments

Nurse Practitioner Nurses in Prescott, AZ

Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458
Nathan William Farnsworth, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 642 Dameron Dr, Prescott, AZ 86301 Phone: 928-445-5211
Mrs. Susan Elaine Spear, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458
Catherine A Kefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Landmark Ln, Prescott, AZ 86301 Phone: 971-262-9600

Kelli Brooke Folgheraiter, - Medicare Nurse Practitioner in Prescott, AZ