Kelly Anne Priddle, CNM is a medicare enrolled "Advanced Practice Midwife" in Gloversville, New York. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Nathan Littauer Hospital Association and her current practice location is
99 E State St, Mab-gpcc, Gloversville, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 773-5729.
Kelly Anne Priddle is licensed to practice in New York (license number F001126) 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 1932212412.
Provider's Profile
| Full Name | Kelly Anne Priddle |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 21 Years |
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| Location | 99 E State St, Gloversville, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Anne Priddle graduated from nursing school in 2003
NPI Data:
- NPI Number: 1932212412
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 01/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 8123910734
- Enrollment ID: I20040329000223
Medical Identifiers
Medical identifiers for Kelly Anne Priddle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932212412 | NPI | - | NPPES |
| 6007701 | Other | NY | MVP HEALTHPLAN |
| 000404812003 | Other | NY | BSH NE NY |
| 02459887 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | F001126 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nathan Littauer Hospital Association | 4183618101 | 89 |
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 Priddle allows following entities to bill medicare on her behalf.
| Entity Name | Nathan Littauer Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073541850
PECOS PAC ID: 4183618101
Enrollment ID: O20040413000599 |
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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 Anne Priddle 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 Anne Priddle, CNM
99 E State St, Po Box 1250,
Gloversville, NY 12078-1203
Ph: (518) 773-5729 | Kelly Anne Priddle, CNM
99 E State St, Mab-gpcc,
Gloversville, NY 12078-1203
Ph: (518) 773-5729 |
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