Kelly A Dale, NP in Medford, OR - Medicare Nurse Practitioner

Kelly A Dale, NP is a medicare enrolled "Nurse Practitioner - Family" in Medford, Oregon. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Asante, Asante Ashland Community Hospital Llc, Asante Physician Partners, Asante Three Rivers Medical Center Llc and her current practice location is 2825 E Barnett Rd, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 789-7000.

Kelly A Dale is licensed to practice in California (license number RN665150) 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 1245420074.

Contact Information

	Kelly A Dale, NP
	2825 E Barnett Rd, Medford, OR 97504-8332
	(541) 789-7000
	(503) 220-3929

Map and Direction

Provider's Profile

Full Name	Kelly A Dale
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	2825 E Barnett Rd, Medford, Oregon
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:

Kelly A Dale graduated from nursing school in 2007

NPI Data:

NPI Number: 1245420074
Provider Enumeration Date: 07/27/2007
Last Update Date: 09/09/2013

Medicare PECOS Information:

PECOS PAC ID: 5799871968
Enrollment ID: I20131031001699

Medical Identifiers

Medical identifiers for Kelly A Dale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245420074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN665150 (California)	Primary
363LF0000X	Nurse Practitioner - Family	200850060 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Asante Ashland Community Hospital	Ashland, OR	Hospital
Asante Rogue Regional Medical Center	Medford, OR	Hospital
Asante Three Rivers Medical Center	Grants pass, OR	Hospital
Fairchild Medical Center	Yreka, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Asante	0547177321	91
Asante Ashland Community Hospital Llc	7012286859	37
Asante Physician Partners	8325206246	244
Asante Three Rivers Medical Center Llc	9931197993	79

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. Kelly A Dale allows following entities to bill medicare on her behalf.

Entity Name	Asante
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238

Entity Name	Valley Immediate Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982709226 PECOS PAC ID: 7618876723 Enrollment ID: O20040107000951

Entity Name	Asante Three Rivers Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367

Entity Name	Asante Physician Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671

Entity Name	Asante Ashland Community Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730628827 PECOS PAC ID: 7012286859 Enrollment ID: O20180426001620

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. Kelly A Dale 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
Kelly A Dale, NP Po Box 4749, Medford, OR 97501-0227 Ph: (541) 789-5516	Kelly A Dale, NP 2825 E Barnett Rd, Medford, OR 97504-8332 Ph: (541) 789-7000

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Kelly A Dale, NP - Medicare Nurse Practitioner in Medford, OR