Kelly Jo Mcdermott, in Mitchell, SD - Medicare Nurse Practitioner

Kelly Jo Mcdermott, is a medicare enrolled "Nurse Practitioner - Family" in Mitchell, South Dakota. Her current practice location is 525 N Foster St, Mitchell, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 995-5701.

Kelly Jo Mcdermott is licensed to practice in South Dakota (license number CP001027) 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 1114386794.

Contact Information

	Kelly Jo Mcdermott,
	525 N Foster St, Mitchell, SD 57301-2966
	(605) 995-5701
	(605) 995-5700

Map and Direction

Provider's Profile

Full Name	Kelly Jo Mcdermott
Gender	Female
Speciality	Nurse Practitioner - Family
Location	525 N Foster St, Mitchell, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114386794
Provider Enumeration Date: 02/11/2016
Last Update Date: 02/11/2016

Medicare PECOS Information:

PECOS PAC ID: 7214226430
Enrollment ID: I20160511001762

Medical Identifiers

Medical identifiers for Kelly Jo Mcdermott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114386794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CP001027 (South Dakota)	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 Mcdermott allows following entities to bill medicare on her behalf.

Entity Name	Community Counseling Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932167277 PECOS PAC ID: 9133111875 Enrollment ID: O20040401000727

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 Mcdermott 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 Jo Mcdermott, 525 N Foster St, Mitchell, SD 57301-2966 Ph: (605) 995-5701	Kelly Jo Mcdermott, 525 N Foster St, Mitchell, SD 57301-2966 Ph: (605) 995-5701

Reviews and Comments

Nurse Practitioner Nurses in Mitchell, SD

Theresa Miiller, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Grassland Dr, Mitchell, SD 57301 Phone: 605-995-7000
Heidi M Gehrke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000
Ms. Penny Petersen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000
Kristin J Bietz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W 6th Ave, Mitchell, SD 57301 Phone: 605-292-6262
Angela Mae Broughton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Grassland Dr, Mitchell, SD 57301 Phone: 605-995-7000
Kim Denise Kee, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 E 6th Ave, Mitchell, SD 57301 Phone: 605-996-3380 Fax: 605-996-3385

Kelly Jo Mcdermott, - Medicare Nurse Practitioner in Mitchell, SD