Kelly Owen, in Riverside, CA - Medicare Nurse Practitioner

Kelly Owen, is a medicare enrolled "Nurse Practitioner - Acute Care" in Riverside, California. Her current practice location is 4646 Brockton Ave Ste 203, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 394-7028.

Kelly Owen is licensed to practice in California (license number NP95019278) 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 1255082673.

Contact Information

	Kelly Owen,
	4646 Brockton Ave Ste 203, Riverside, CA 92506-0104
	(951) 394-7028
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Owen
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	4646 Brockton Ave Ste 203, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255082673
Provider Enumeration Date: 01/17/2022
Last Update Date: 06/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2163800772
Enrollment ID: I20220609000588

Medical Identifiers

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

Identifier	Type	State	Issuer
1255082673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	NP95019278 (California)	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 Owen allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	The Oncology Institute Ca, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275651515 PECOS PAC ID: 5698872398 Enrollment ID: O20070514000607

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 Owen 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 Owen, 4646 Brockton Ave Ste 203, Riverside, CA 92506-0104 Ph: (951) 394-7028	Kelly Owen, 4646 Brockton Ave Ste 203, Riverside, CA 92506-0104 Ph: (951) 394-7028

Reviews and Comments

Nurse Practitioner Nurses in Riverside, CA

Alice Chinyere Echeta, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504 Phone: 951-341-8930
Obianuju Rivera, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501 Phone: 855-427-2778 Fax: 951-530-3997
Luamy Gabriela Cornejo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501 Phone: 951-684-1293
Christine Pham Duong, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503 Phone: 951-324-5901 Fax: 877-778-9472
Namrata Nicole Sihotang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508 Phone: 844-827-8000
Helen Landayan Lo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7140 Indiana Avenue, Riverside, CA 92503 Phone: 951-358-6037
Rebecca J Seawell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000

Kelly Owen, - Medicare Nurse Practitioner in Riverside, CA