Kelly Denise Grace, FNP-C in Senatobia, MS - Medicare Nurse Practitioner

Kelly Denise Grace, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Senatobia, Mississippi. Her current practice location is 105a Quality Ln, Senatobia, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 298-2144.

Kelly Denise Grace is licensed to practice in Mississippi (license number 903082) 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 1538631700.

Contact Information

	Kelly Denise Grace, FNP-C
	105a Quality Ln, Senatobia, MS 38668-2317
	(662) 298-2144
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Denise Grace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	105a Quality Ln, Senatobia, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538631700
Provider Enumeration Date: 12/27/2018
Last Update Date: 11/13/2022

Medicare PECOS Information:

PECOS PAC ID: 9638418221
Enrollment ID: I20190226001014

Medical Identifiers

Medical identifiers for Kelly Denise Grace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538631700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903082 (Mississippi)	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 Denise Grace allows following entities to bill medicare on her behalf.

Entity Name	Mettetal Family Medicince
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083786727 PECOS PAC ID: 3072591791 Enrollment ID: O20040709000707

Entity Name	Redmed, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095

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 Denise Grace 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 Denise Grace, FNP-C 3543 Old Crenshaw Rd, Crenshaw, MS 38621-5509 Ph: (662) 701-8063	Kelly Denise Grace, FNP-C 105a Quality Ln, Senatobia, MS 38668-2317 Ph: (662) 298-2144

Reviews and Comments

Nurse Practitioner Nurses in Senatobia, MS

Shara Smith Bledsoe, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2778 Highway 51 S, Senatobia, MS 38668 Phone: 662-560-5966 Fax: 662-560-5969
Showanda Mckay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 E Main Street Plz, Senatobia, MS 38668 Phone: 662-562-8278 Fax: 662-562-8279
Marquita Sledge, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 565 N Robinson St, Senatobia, MS 38668 Phone: 662-612-6089 Fax: 662-612-6313
Beverly Briscoe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Getwell Dr, Ste B, Senatobia, MS 38668 Phone: 662-301-1128 Fax: 662-301-4430
Patricia Blair, FPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Preston Mckay Dr, Senatobia, MS 38668 Phone: 662-562-4428
Kimberly Gwen Mettetal, C.F.N.P. CPMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 309 W Main St, Senatobia, MS 38668 Phone: 662-560-3101
Lauren Elizabeth Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Northwest Plz, Senatobia, MS 38668 Phone: 662-301-8330

Kelly Denise Grace, FNP-C - Medicare Nurse Practitioner in Senatobia, MS