Kelly R Horn, is a medicare enrolled "Midwife" in Fort Wayne, Indiana. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Parkview Health System Inc and her current practice location is
8028 Carnegie Blvd Ste 300, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 425-6650.
Kelly R Horn is licensed to practice in Indiana (license number 09000257A) 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 1912393570.
Provider's Profile
| Full Name | Kelly R Horn |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 15 Years |
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| Location | 8028 Carnegie Blvd Ste 300, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly R Horn graduated from nursing school in 2009
NPI Data:
- NPI Number: 1912393570
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941529309
- Enrollment ID: I20150506001411
Medical Identifiers
Medical identifiers for Kelly R Horn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912393570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 71005416A (Indiana) | Secondary |
| 176B00000X | Midwife | 09000257A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Parkview Health System Inc | 2163336967 | 1192 |
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 R Horn allows following entities to bill medicare on her behalf.
| Entity Name | Parkview Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288 |
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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 R Horn 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 R Horn,
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Kelly R Horn,
8028 Carnegie Blvd Ste 300,
Fort Wayne, IN 46804-5788
Ph: (260) 425-6650 |
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