Kelly Merrill Selby, CRNA in Gainesville, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly Merrill Selby, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gainesville, Florida. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Florida Clinical Practice Association Inc and her current practice location is 1600 Sw Archer Rd, Box 100254, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 273-8610.

Kelly Merrill Selby is licensed to practice in Florida (license number APRN9451513) 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 1326585720.

Contact Information

	Kelly Merrill Selby, CRNA
	1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610-0254
	(352) 273-8610
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Merrill Selby
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare Assignments	Yes. 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 Merrill Selby graduated from nursing school in 2016

NPI Data:

NPI Number: 1326585720
Provider Enumeration Date: 01/23/2017
Last Update Date: 12/18/2020

Medicare PECOS Information:

PECOS PAC ID: 5597049932
Enrollment ID: I20170301002726

Medical Identifiers

Medical identifiers for Kelly Merrill Selby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326585720	NPI	-	NPPES
019871000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	ARNP9451513 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN9451513 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Halifax Health Medical Center	Daytona beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Clinical Practice Association Inc	0345146254	1622

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 Merrill Selby allows following entities to bill medicare on her behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

Entity Name	Anesthesiology Professional Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927

Entity Name	Space Coast Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942441753 PECOS PAC ID: 5496805426 Enrollment ID: O20090611000695

Entity Name	Orange City Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972882314 PECOS PAC ID: 2365617016 Enrollment ID: O20111208000641

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 Merrill Selby 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 Merrill Selby, CRNA 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610-0254 Ph: (352) 273-8610	Kelly Merrill Selby, CRNA 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610-0254 Ph: (352) 273-8610

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gainesville, FL

William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000
Mr. Robert M Clonan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012
Phyllis Mccarty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 W. Newberry Road, Gainesville, FL 32605 Phone: 352-333-4180 Fax: 352-333-4861

Kelly Merrill Selby, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gainesville, FL