Kellie J Butler, APRN is a medicare enrolled "Nurse Practitioner - Family" in West Jefferson, Ohio. Her current practice location is
95 E Main St, West Jefferson, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 879-7100.
Kellie J Butler is licensed to practice in Ohio (license number NP11631) 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 1750695508.
Provider's Profile
| Full Name | Kellie J Butler |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 95 E Main St, West Jefferson, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750695508
- Provider Enumeration Date: 08/04/2010
- Last Update Date: 11/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 6406029370
- Enrollment ID: I20111109000731
Medical Identifiers
Medical identifiers for Kellie J Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750695508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP11631 (Ohio) | 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. Kellie J Butler allows following entities to bill medicare on her behalf.
| Entity Name | American Current Care Of Ohio Pa Co |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023292943
PECOS PAC ID: 0042356073
Enrollment ID: O20091006000303 |
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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. Kellie J Butler 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 |
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Kellie J Butler, APRN
17600 Winchester Rd,
Ashville, OH 43103-9428
Ph: (740) 474-7071 | Kellie J Butler, APRN
95 E Main St,
West Jefferson, OH 43162-1205
Ph: (614) 879-7100 |
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