Kelly Jo Stroede, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Shenandoah, Pennsylvania. Her current practice location is
624 W Centre St, Shenandoah, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 671-0300.
Kelly Jo Stroede is licensed to practice in Pennsylvania (license number SP022112) 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 1093329278.
Provider's Profile
| Full Name | Kelly Jo Stroede |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 624 W Centre St, Shenandoah, 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: 1093329278
- Provider Enumeration Date: 09/03/2020
- Last Update Date: 12/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375954811
- Enrollment ID: I20201204000918
Medical Identifiers
Medical identifiers for Kelly Jo Stroede such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093329278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP022112 (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 Stroede allows following entities to bill medicare on her behalf.
| Entity Name | Primary Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417932609
PECOS PAC ID: 9234046228
Enrollment ID: O20031124000553 |
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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 Stroede 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 Stroede, CRNP
100 Shenango Ave,
Sharon, PA 16146-1503
Ph: (570) 544-9123 | Kelly Jo Stroede, CRNP
624 W Centre St,
Shenandoah, PA 17976-1403
Ph: (570) 671-0300 |
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