Kelly A Kilbreath, NP is a medicare enrolled "Nurse Practitioner - Family" in Montrose, Michigan. Her current practice location is
190 E State St, Montrose, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 639-2056.
Kelly A Kilbreath is licensed to practice in Michigan (license number 4704246885) 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 1447536479.
Provider's Profile
| Full Name | Kelly A Kilbreath |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 190 E State St, Montrose, Michigan |
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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: 1447536479
- Provider Enumeration Date: 10/21/2011
- Last Update Date: 12/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244404754
- Enrollment ID: I20111118000518
Medical Identifiers
Medical identifiers for Kelly A Kilbreath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447536479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704246885 (Michigan) | 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. Kelly A Kilbreath allows following entities to bill medicare on her behalf.
| Entity Name | Express Urgent Care,pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548607971
PECOS PAC ID: 4284857327
Enrollment ID: O20140519001363 |
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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. Kelly A Kilbreath 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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Kelly A Kilbreath, NP
1158 E Cook Rd,
Grand Blanc, MI 48439-8368
Ph: (810) 922-0806 | Kelly A Kilbreath, NP
190 E State St,
Montrose, MI 48457-9144
Ph: (810) 639-2056 |
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