Kelli Dudley, in Gatesville, TX - Medicare Nurse Practitioner

Kelli Dudley, is a medicare enrolled "Nurse Practitioner - Family" in Gatesville, Texas. Her current practice location is 1507 W Main St, Gatesville, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 865-2166.

Kelli Dudley is licensed to practice in Texas (license number AP138110) 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 1316427883.

Contact Information

	Kelli Dudley,
	1507 W Main St, Gatesville, TX 76528-1024
	(254) 865-2166
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelli Dudley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1507 W Main St, Gatesville, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316427883
Provider Enumeration Date: 08/15/2018
Last Update Date: 03/18/2021

Medicare PECOS Information:

PECOS PAC ID: 7315298783
Enrollment ID: I20180924003123

Medical Identifiers

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

Identifier	Type	State	Issuer
1316427883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP138110 (Texas)	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 Dudley allows following entities to bill medicare on her behalf.

Entity Name	Coryell County Memorial Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992832521 PECOS PAC ID: 7719886282 Enrollment ID: O20040202000105

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 Dudley 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 Dudley, 1507 W Main St, Gatesville, TX 76528-1024 Ph: (254) 865-2166	Kelli Dudley, 1507 W Main St, Gatesville, TX 76528-1024 Ph: (254) 865-2166

Reviews and Comments

Nurse Practitioner Nurses in Gatesville, TX

Amy Belen Stewart, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-2166 Fax: 254-248-0626
Daryl K Potter, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-2166 Fax: 254-248-0626
Mrs. Rachel J Hopson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Highway 36 Byp S, Gatesville, TX 76528 Phone: 254-248-6500
Dr. Cynthia Oluyemi Lakia Bonin-omoniyi, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1210 Coryell City Rd, Gatesville, TX 76528 Phone: 409-772-1011
Dawn Marie Pessa, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-2166 Fax: 254-248-0626
Kerry Zacharias, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-248-6245 Fax: 254-248-6306
Mr. John Allen Seth, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1507 West Main Street, Gatesville, TX 76528 Phone: 254-865-8251 Fax: 254-248-6306

Kelli Dudley, - Medicare Nurse Practitioner in Gatesville, TX