Kelly Anne Kallis, CFNP in Fayetteville, GA - Medicare Nurse Practitioner

Kelly Anne Kallis, CFNP is a medicare enrolled "Nurse Practitioner" in Fayetteville, Georgia. Her current practice location is 101 Yorktown Dr, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 460-4285.

Kelly Anne Kallis is licensed to practice in Georgia (license number 119187) 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 1831244417.

Contact Information

	Kelly Anne Kallis, CFNP
	101 Yorktown Dr, Fayetteville, GA 30214-1568
	(770) 460-4285
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Anne Kallis
Gender	Female
Speciality	Nurse Practitioner
Location	101 Yorktown Dr, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831244417
Provider Enumeration Date: 01/24/2007
Last Update Date: 02/17/2011

Medicare PECOS Information:

PECOS PAC ID: 0446299556
Enrollment ID: I20050428000298

Medical Identifiers

Medical identifiers for Kelly Anne Kallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831244417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	119187 (Georgia)	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 Anne Kallis allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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 Anne Kallis 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 Anne Kallis, CFNP Po Box 102321, Atlanta, GA 30368-2321 Ph: () -	Kelly Anne Kallis, CFNP 101 Yorktown Dr, Fayetteville, GA 30214-1568 Ph: (770) 460-4285

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038

Kelly Anne Kallis, CFNP - Medicare Nurse Practitioner in Fayetteville, GA