Kelly Pratt, in Daly City, CA - Medicare Nurse Practitioner

Kelly Pratt, is a medicare enrolled "Nurse Practitioner - Adult Health" in Daly City, California. Her current practice location is 1618 Sullivan Ave, Ste 208, Daly City, California. You can reach out to her office (for appointments etc.) via phone at (650) 994-4444.

Kelly Pratt is licensed to practice in California (license number 95003224) 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 1992176150.

Contact Information

	Kelly Pratt,
	1618 Sullivan Ave, Ste 208, Daly City, CA 94015-1967
	(650) 994-4444
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Pratt
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1618 Sullivan Ave, Daly City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992176150
Provider Enumeration Date: 10/14/2015
Last Update Date: 10/14/2015

Medicare PECOS Information:

PECOS PAC ID: 8123316643
Enrollment ID: I20161014001721

Medical Identifiers

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

Identifier	Type	State	Issuer
1992176150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95003224 (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 Pratt allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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 Pratt 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 Pratt, 2040 Judah St, San Francisco, CA 94122-1562 Ph: () -	Kelly Pratt, 1618 Sullivan Ave, Ste 208, Daly City, CA 94015-1967 Ph: (650) 994-4444

Reviews and Comments

Nurse Practitioner Nurses in Daly City, CA

Duane Medeiros, MSN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Campus Dr Ste 102, Daly City, CA 94015 Phone: 650-266-8242
Mr. Fidel Manzano Cadag, NP - C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, Suite 310, Daly City, CA 94015 Phone: 650-755-3939 Fax: 650-755-3883
Leigh Pauline Shinn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Mountain View Dr Apt 10, Daly City, CA 94014 Phone: 415-606-1208
Ms. Laleh Rezaei-homami, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Campus Dr Ste 111, Daly City, CA 94015 Phone: 650-652-8720
Ms. Gail Violet Roettgen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Sullivan Ave, Lower Level, Daly City, CA 94015 Phone: 415-680-4135 Fax: 415-520-5153
Mrs. Anadelia B Kim, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Sullivan Ave, Daly City, CA 94015 Phone: 650-992-5300
Ruth Reyes Ramos, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1498 Southgate Ave, Suite 102, Daly City, CA 94015 Phone: 650-755-4490 Fax: 650-755-2920

Kelly Pratt, - Medicare Nurse Practitioner in Daly City, CA