Kelsey Rhea Holmes, APRN is a medicare enrolled "Clinical Nurse Specialist - Pediatrics" in Fleming Island, Florida. Her current practice location is
4611 Us Highway 17, Fleming Island, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 264-4333.
Kelsey Rhea Holmes is licensed to practice in Florida (license number ARNP9329749) 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 1407239759.
Provider's Profile
| Full Name | Kelsey Rhea Holmes |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Pediatrics |
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| Location | 4611 Us Highway 17, Fleming Island, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407239759
- Provider Enumeration Date: 07/06/2015
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850658162
- Enrollment ID: I20171121003008
Medical Identifiers
Medical identifiers for Kelsey Rhea Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407239759 | NPI | - | NPPES |
| APRN9329749 | Other | FL | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0200X | Clinical Nurse Specialist - Pediatrics | ARNP9329749 (Florida) | 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. Kelsey Rhea Holmes allows following entities to bill medicare on her behalf.
| Entity Name | Childrens Hospital Of The Kings Daughters Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578954590
PECOS PAC ID: 0941265284
Enrollment ID: O20150623001707 |
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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. Kelsey Rhea Holmes 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 |
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Kelsey Rhea Holmes, APRN
4611 Us Highway 17,
Fleming Island, FL 32003-8245
Ph: (904) 264-4333 | Kelsey Rhea Holmes, APRN
4611 Us Highway 17,
Fleming Island, FL 32003-8245
Ph: (904) 264-4333 |
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