Kellie Jo Stotsky, - Medicare Advanced Practice Midwife in Lagrange, GA

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Kellie Jo Stotsky, is a medicare enrolled "Advanced Practice Midwife" in Lagrange, Georgia. Her current practice location is 303 Medical Dr, Suite 405, Lagrange, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 242-5099.

Kellie Jo Stotsky is licensed to practice in Micronesia (license number RN262321) 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 1790234953.

Contact Information

Kellie Jo Stotsky,
303 Medical Dr, Suite 405,
Lagrange, GA 30240-4169
(706) 242-5099
(706) 242-5231

Map and Direction




Provider's Profile

Full NameKellie Jo Stotsky
GenderFemale
SpecialityAdvanced Practice Midwife
Location303 Medical Dr, Lagrange, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790234953
  • Provider Enumeration Date: 09/29/2016
  • Last Update Date: 09/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2264712074
  • Enrollment ID: I20161214001232

Medical Identifiers

Medical identifiers for Kellie Jo Stotsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790234953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife RN262321 (Micronesia)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 Jo Stotsky allows following entities to bill medicare on her behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameDhp Of Piedmont Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316202609
PECOS PAC ID: 9133378763
Enrollment ID: O20201014001431

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 Jo Stotsky 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 AddressPractice Location Address
Kellie Jo Stotsky,
303 Medical Dr, Suite 405,
Lagrange, GA 30240-4169

Ph: (706) 242-5099		Kellie Jo Stotsky,
303 Medical Dr, Suite 405,
Lagrange, GA 30240-4169

Ph: (706) 242-5099

Reviews and Comments


Advanced Practice Midwife Nurses in Lagrange, GA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.