Kelly J Nastasi, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bush, Louisiana. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Our Lady Of The Lake Physician Group Llc and her current practice location is
79630 Highway 21, Bush, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(985) 730-6180.
Kelly J Nastasi is licensed to practice in Louisiana (license number AP10100) 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 1912475773.
Provider's Profile
Full Name | Kelly J Nastasi |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 79630 Highway 21, Bush, Louisiana |
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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. |
Medical Education and Training:
- Kelly J Nastasi graduated from nursing school in 2018
NPI Data:
- NPI Number: 1912475773
- Provider Enumeration Date: 11/08/2018
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274879184
- Enrollment ID: I20190115000952
Medical Identifiers
Medical identifiers for Kelly J Nastasi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912475773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP10100 (Louisiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
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 Nastasi allows following entities to bill medicare on her behalf.
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
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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 J Nastasi 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 Nastasi, FNP-BC 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (985) 730-6180 | Kelly J Nastasi, FNP-BC 79630 Highway 21, Bush, LA 70431 Ph: (985) 730-6180 |
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