Kelly Gahlon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Drayton, North Dakota. Her current practice location is
1003 N Main St, Drayton, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 454-3311.
Kelly Gahlon is licensed to practice in North Dakota (license number R33323) 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 1316728850.
Provider's Profile
Full Name | Kelly Gahlon |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 1003 N Main St, Drayton, North Dakota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316728850
- Provider Enumeration Date: 10/10/2023
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234586272
- Enrollment ID: I20231113001290
Medical Identifiers
Medical identifiers for Kelly Gahlon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316728850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R33323 (North Dakota) | 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 Gahlon allows following entities to bill medicare on her behalf.
Entity Name | Altru Health System |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
---|
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 Gahlon 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 Gahlon, FNP-C 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Kelly Gahlon, FNP-C 1003 N Main St, Drayton, ND 58225-4624 Ph: (701) 454-3311 |
Reviews and Comments