Kelly Jo Kline, CNM is a medicare enrolled "Advanced Practice Midwife" in Ebensburg, Pennsylvania. Her current practice location is
152 Zeman Dr Ste 102, Ebensburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 471-2271.
Kelly Jo Kline is licensed to practice in Pennsylvania (license number MW010689) 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 1023743531.
Provider's Profile
| Full Name | Kelly Jo Kline |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 152 Zeman Dr Ste 102, Ebensburg, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023743531
- Provider Enumeration Date: 07/19/2022
- Last Update Date: 04/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648654871
- Enrollment ID: I20220907000880
Medical Identifiers
Medical identifiers for Kelly Jo Kline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023743531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | MW010689 (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 Jo Kline allows following entities to bill medicare on her behalf.
| Entity Name | University Of Pittsburgh Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883 |
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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 Jo Kline 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 |
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Kelly Jo Kline, CNM
152 Zeman Dr Ste 102,
Ebensburg, PA 15931-4130
Ph: (814) 471-2277 | Kelly Jo Kline, CNM
152 Zeman Dr Ste 102,
Ebensburg, PA 15931-4130
Ph: (814) 471-2271 |
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