Kelli Clebert Corkern, NP in Gonzales, LA - Medicare Nurse Practitioner

Kelli Clebert Corkern, NP is a medicare enrolled "Nurse Practitioner - Family" in Gonzales, Louisiana. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Our Lady Of The Lake Physician Group Llc and her current practice location is 1023 W Highway 30, Gonzales, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 765-5500.

Kelli Clebert Corkern is licensed to practice in Louisiana (license number AP06551) 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 1629353990.

Contact Information

	Kelli Clebert Corkern, NP
	1023 W Highway 30, Gonzales, LA 70737-5002
	(225) 765-5500
	(225) 647-5342

Map and Direction

Provider's Profile

Full Name	Kelli Clebert Corkern
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1023 W Highway 30, Gonzales, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelli Clebert Corkern graduated from nursing school in 2011

NPI Data:

NPI Number: 1629353990
Provider Enumeration Date: 10/18/2011
Last Update Date: 08/24/2021

Medicare PECOS Information:

PECOS PAC ID: 3870767171
Enrollment ID: I20111123000275

Medical Identifiers

Medical identifiers for Kelli Clebert Corkern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629353990	NPI	-	NPPES
07508799	Medicaid	MS
2169149	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP06551 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ochsner Medical Center - Baton Rouge	Baton rouge, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of The Lake Physician Group Llc	4587849781	521

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 Clebert Corkern allows following entities to bill medicare on her behalf.

Entity Name	Our Lady Of Lake Ascension, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822

Entity Name	Convenient Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

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 Clebert Corkern 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 Clebert Corkern, NP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0001	Kelli Clebert Corkern, NP 1023 W Highway 30, Gonzales, LA 70737-5002 Ph: (225) 765-5500

Reviews and Comments

Nurse Practitioner Nurses in Gonzales, LA

Carol B Craig, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 W Highway 30, Gonzales, LA 70737 Phone: 225-644-2100 Fax: 225-644-5213
Jennifer Jennings Gibson, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990
Megan Louque Stamps, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Purpera Ave Ste 601, Gonzales, LA 70737 Phone: 504-465-4550 Fax: 833-222-4520
Racine Dominique Jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 W Orice Roth Rd Apt 1510, Gonzales, LA 70737 Phone: 225-348-3997
Thu Anh Nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42568 Cedar Park Ave, Gonzales, LA 70737 Phone: 504-520-0373
Angelle Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 Fax: 225-644-3264
Maretta Daniel, MSN ,APN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 Airline Hwy Ste 103, Gonzales, LA 70737 Phone: 225-236-5970

Kelli Clebert Corkern, NP - Medicare Nurse Practitioner in Gonzales, LA