Kelly J Hines, NP in Mokena, IL - Medicare Nurse Practitioner

Kelly J Hines, NP is a medicare enrolled "Nurse Practitioner - Family" in Mokena, Illinois. Her current practice location is 21039 Tail Feathers Dr, Mokena, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 595-6515.

Kelly J Hines is licensed to practice in Illinois (license number 277002808) 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 1508276205.

Contact Information

	Kelly J Hines, NP
	21039 Tail Feathers Dr, Mokena, IL 60448-2443
	(773) 595-6515
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly J Hines
Gender	Female
Speciality	Nurse Practitioner - Family
Location	21039 Tail Feathers Dr, Mokena, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508276205
Provider Enumeration Date: 05/02/2014
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 7517180383
Enrollment ID: I20140523000435

Medical Identifiers

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

Identifier	Type	State	Issuer
1508276205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	277002808 (Illinois)	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 Hines allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174925663 PECOS PAC ID: 9234041948 Enrollment ID: O20040312001189

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 Hines 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 Hines, NP 21039 Tail Feathers Dr, Mokena, IL 60448-2443 Ph: (773) 595-6515	Kelly J Hines, NP 21039 Tail Feathers Dr, Mokena, IL 60448-2443 Ph: (773) 595-6515

Reviews and Comments

Nurse Practitioner Nurses in Mokena, IL

Cynthia Phillips, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171
Mrs. Shonda Lynn Farris, RN, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171
Dr. Victoria O. Fadiya, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9405 Bormet Dr Ste 10, Mokena, IL 60448 Phone: 708-481-0095 Fax: 866-299-8890
Ms. Irene Bresingham, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171
Lindsie Fransen, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448 Phone: 866-389-2727
Sarah Cupp, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11243 W Laporte Rd, Mokena, IL 60448 Phone: 708-479-4681 Fax: 708-479-8516
Ann Lynn Pampalone, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 Fax: 815-464-2176

Kelly J Hines, NP - Medicare Nurse Practitioner in Mokena, IL