Kelly M Parker, FNP-BC - Medicare Nurse Practitioner in Bridgeport, CT

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Kelly M Parker, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Quentin Medical Group Llc and her current practice location is 754 Clinton Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 923-2204.

Kelly M Parker is licensed to practice in Connecticut (license number 12.009662) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780267153.

Contact Information

Kelly M Parker, FNP-BC
754 Clinton Ave,
Bridgeport, CT 06604-2369
(203) 923-2204
Not Available

Map and Direction




Provider's Profile

Full NameKelly M Parker
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location754 Clinton Ave, Bridgeport, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly M Parker graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1780267153
  • Provider Enumeration Date: 05/03/2021
  • Last Update Date: 05/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0941609994
  • Enrollment ID: I20210525002239

Medical Identifiers

Medical identifiers for Kelly M Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780267153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 12.009662 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Quentin Medical Group Llc49818336479

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 M Parker allows following entities to bill medicare on her behalf.
Entity NameQuentin Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487087250
PECOS PAC ID: 4981833647
Enrollment ID: O20140130000098
Entity NameBridgeport Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548642283
PECOS PAC ID: 3870803844
Enrollment ID: O20151103000889
Entity NameQmg 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437546363
PECOS PAC ID: 0345541512
Enrollment ID: O20151211000754
Entity NameQmg4 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023471299
PECOS PAC ID: 4284912957
Enrollment ID: O20161031002469
Entity NameQmg3 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053856039
PECOS PAC ID: 8628353117
Enrollment ID: O20170324000321
Entity NameQmg5 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386233344
PECOS PAC ID: 2062820913
Enrollment ID: O20210414002118

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 M Parker 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 AddressPractice Location Address
Kelly M Parker, FNP-BC
6 Pleasant Village Dr,
Succasunna, NJ 07876-1144

Ph: (862) 812-6412		Kelly M Parker, FNP-BC
754 Clinton Ave,
Bridgeport, CT 06604-2369

Ph: (203) 923-2204

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.