Kelly J Culmore, DNP in Grand Rapids, MI - Medicare Nurse Practitioner

Kelly J Culmore, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Rapids, Michigan. Her current practice location is 1000 Parchment Dr Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 957-9112.

Kelly J Culmore is licensed to practice in Michigan (license number 4707345167) 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 1841760972.

Contact Information

	Kelly J Culmore, DNP
	1000 Parchment Dr Se, Grand Rapids, MI 49546-3663
	(616) 957-9112
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly J Culmore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1000 Parchment Dr Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841760972
Provider Enumeration Date: 12/02/2018
Last Update Date: 06/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9537555727
Enrollment ID: I20220418000382

Medical Identifiers

Medical identifiers for Kelly J Culmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841760972	NPI	-	NPPES
1841760972	Other		NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4707345167 (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 J Culmore allows following entities to bill medicare on her behalf.

Entity Name	Lafayette Medical Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598437642 PECOS PAC ID: 1355791575 Enrollment ID: O20231229000371

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 J Culmore 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 J Culmore, DNP 1474 Highview Dr Se, Byron Center, MI 49315-8171 Ph: (269) 487-7289	Kelly J Culmore, DNP 1000 Parchment Dr Se, Grand Rapids, MI 49546-3663 Ph: (616) 957-9112

Reviews and Comments

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Kelly J Culmore, DNP - Medicare Nurse Practitioner in Grand Rapids, MI