Kelly L Scoggins, FNP is a medicare enrolled "Surgery" in Glendale, Arizona. Her current practice location is
5310 W Thunderbird Rd, Suite 110, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 865-4065.
Kelly L Scoggins is licensed to practice in Arizona (license number 124662) 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 1427137157.
Provider's Profile
Full Name | Kelly L Scoggins |
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Gender | Female |
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Speciality | Surgery |
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Location | 5310 W Thunderbird Rd, Glendale, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427137157
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 02/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 5193718120
- Enrollment ID: I20040406000817
Medical Identifiers
Medical identifiers for Kelly L Scoggins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427137157 | NPI | - | NPPES |
826737 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0200X | Registered Nurse - Pediatrics | RN124662 (Arizona) | Secondary |
208600000X | Surgery | 124662 (Arizona) | Primary |
163W00000X | Registered Nurse | 124662 (Arizona) | Secondary |
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 L Scoggins allows following entities to bill medicare on her behalf.
Entity Name | Banner Physician Super Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 |
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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 L Scoggins 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 L Scoggins, FNP 5310 W Thunderbird Rd, Suite 110, Glendale, AZ 85306-4706 Ph: (602) 865-4065 | Kelly L Scoggins, FNP 5310 W Thunderbird Rd, Suite 110, Glendale, AZ 85306-4706 Ph: (602) 865-4065 |
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