Kelly J Stoddart, CRNP in Erie, PA - Medicare Nurse Practitioner

Kelly J Stoddart, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Erie, Pennsylvania. Her current practice location is 1535 W 26th St Ste A, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 314-2315.

Kelly J Stoddart is licensed to practice in Pennsylvania (license number SP015208) 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 1275903130.

Contact Information

	Kelly J Stoddart, CRNP
	1535 W 26th St Ste A, Erie, PA 16508-1357
	(814) 314-2315
	(814) 556-2109

Map and Direction

Provider's Profile

Full Name	Kelly J Stoddart
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1535 W 26th St Ste A, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275903130
Provider Enumeration Date: 10/04/2015
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 5799062808
Enrollment ID: I20170427000864

Medical Identifiers

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

Identifier	Type	State	Issuer
1275903130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP015208 (Pennsylvania)	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 Stoddart allows following entities to bill medicare on her behalf.

Entity Name	Osh - Pa Physicians Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811405533 PECOS PAC ID: 7517213879 Enrollment ID: O20180629000414

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 Stoddart 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 Stoddart, CRNP 1202 State St, Erie, PA 16501-1914 Ph: (814) 454-4530	Kelly J Stoddart, CRNP 1535 W 26th St Ste A, Erie, PA 16508-1357 Ph: (814) 314-2315

Reviews and Comments

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Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074
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Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Linda Kathleen Mentz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-877-5800 Fax: 814-877-5809

Kelly J Stoddart, CRNP - Medicare Nurse Practitioner in Erie, PA