Kelly Kavanaugh, NP - Medicare Nurse Practitioner in Elyria, OH

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Kelly Kavanaugh, NP is a medicare enrolled "Nurse Practitioner - Family" in Elyria, Ohio. Her current practice location is 710a Leona St, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 324-0092.

Kelly Kavanaugh is licensed to practice in Ohio (license number 17368-NP) 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 1609257005.

Contact Information

Kelly Kavanaugh, NP
710a Leona St,
Elyria, OH 44035-2349
(440) 324-0092
(440) 324-0093

Map and Direction




Provider's Profile

Full NameKelly Kavanaugh
GenderFemale
SpecialityNurse Practitioner - Family
Location710a Leona St, Elyria, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609257005
  • Provider Enumeration Date: 06/11/2015
  • Last Update Date: 05/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254645336
  • Enrollment ID: I20150803001864

Medical Identifiers

Medical identifiers for Kelly Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609257005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 17368-NP (Ohio)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 Kavanaugh allows following entities to bill medicare on her behalf.
Entity NameXcell Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295149243
PECOS PAC ID: 7416174701
Enrollment ID: O20140811000673

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 Kavanaugh 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 Kavanaugh, NP
710a Leona St,
Elyria, OH 44035-2349

Ph: (440) 324-0092		Kelly Kavanaugh, NP
710a Leona St,
Elyria, OH 44035-2349

Ph: (440) 324-0092

Reviews and Comments


Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-323-8515    
Nicole Fatemeh Scavuzzo, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035
Phone: 440-406-8153    Fax: 440-406-8312
Mary Lauretta Gilchrist,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Ms. Amy M. King, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Amy M Kovalsky, RN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Mrs. Brenda J Life, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035
Phone: 440-326-4120    Fax: 440-322-3454
Teneisha Taquae Craighead, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-452-0740    

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.