Kelly Mccoubrey, FNP is a medicare enrolled "Nurse Practitioner - Family" in Meddybemps, Maine. Her current practice location is
115 Conant Hill Rd, Meddybemps, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 214-9355.
Kelly Mccoubrey is licensed to practice in Maine (license number CNP161166) 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 1982154951.
Provider's Profile
Full Name | Kelly Mccoubrey |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 115 Conant Hill Rd, Meddybemps, Maine |
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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: 1982154951
- Provider Enumeration Date: 10/13/2016
- Last Update Date: 09/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163609108
- Enrollment ID: I20190125001281
Medical Identifiers
Medical identifiers for Kelly Mccoubrey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982154951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 084388-23 (New Hampshire) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP161166 (Maine) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP161166 (Maine) | 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 Mccoubrey allows following entities to bill medicare on her behalf.
Entity Name | Acadia Hospital Corp. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136 |
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Entity Name | Recover Together Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201124000455 |
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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 Mccoubrey 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 Mccoubrey, FNP 115 Conant Hill Rd, Meddybemps, ME 04657-4027 Ph: (207) 214-9355 | Kelly Mccoubrey, FNP 115 Conant Hill Rd, Meddybemps, ME 04657-4027 Ph: (207) 214-9355 |
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