Kelly South, in Kettering, OH - Medicare Nurse Practitioner

Kelly South, is a medicare enrolled "Nurse Practitioner" in Kettering, Ohio. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emergency Medicine Specialists Inc and her current practice location is 3535 Southern Blvd, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 395-8166.

Kelly South is licensed to practice in Ohio (license number COA.17881) 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 1205203270.

Contact Information

	Kelly South,
	3535 Southern Blvd, Kettering, OH 45429-1221
	(937) 395-8166
	(937) 395-8347

Map and Direction

Provider's Profile

Full Name	Kelly South
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3535 Southern Blvd, Kettering, Ohio
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 South graduated from nursing school in 2015

NPI Data:

NPI Number: 1205203270
Provider Enumeration Date: 08/26/2015
Last Update Date: 05/06/2020

Medicare PECOS Information:

PECOS PAC ID: 5597075366
Enrollment ID: I20151106000347

Medical Identifiers

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

Identifier	Type	State	Issuer
1205203270	NPI	-	NPPES
0144636	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	COA.17881 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview And Southview Hospitals	Dayton, OH	Hospital
Troy Hospital	Troy, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Medicine Specialists Inc	7315851359	114

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 South allows following entities to bill medicare on her behalf.

Entity Name	Emergency Medicine Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588640791 PECOS PAC ID: 7315851359 Enrollment ID: O20031114000252

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 South 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 South, 3131 Newmark Dr Ste 220, Miamisburg, OH 45342-5400 Ph: (937) 436-4658	Kelly South, 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-8166

Reviews and Comments

Nurse Practitioner Nurses in Kettering, OH

Ms. Noriko Tsuchihashi Banerjee, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429 Phone: 937-222-3118 Fax: 937-222-1436
Erica Lee Ertel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3992
Richard Foreman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260
Lashauna Hall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343
Eric E Bowers, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-298-4331
Mrs. Erika Vanwyck Thomas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420 Phone: 937-610-9174
Ms. Danyell Margioras, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299

Kelly South, - Medicare Nurse Practitioner in Kettering, OH