Kelsey Belcourt, FNP is a medicare enrolled "Nurse Practitioner - Family" in Angels Camp, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sonora Community Hospital and her current practice location is
445 S Main St, Angels Camp, California. You can reach out to her office (for appointments etc.) via phone at
(209) 736-0249.
Kelsey Belcourt is licensed to practice in California (license number 95010968) 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 1467925594.
Provider's Profile
| Full Name | Kelsey Belcourt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 445 S Main St, Angels Camp, California |
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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:
- Kelsey Belcourt graduated from nursing school in 2018
NPI Data:
- NPI Number: 1467925594
- Provider Enumeration Date: 01/11/2019
- Last Update Date: 06/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 2163755943
- Enrollment ID: I20190611000008
Medical Identifiers
Medical identifiers for Kelsey Belcourt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467925594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 789532 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95010968 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sonora Community Hospital | 4284538505 | 91 |
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 Belcourt allows following entities to bill medicare on her behalf.
| Entity Name | Sonora Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891732418
PECOS PAC ID: 4284538505
Enrollment ID: O20031119000910 |
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| Entity Name | Sonora Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821089749
PECOS PAC ID: 4284538505
Enrollment ID: O20050411001282 |
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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 Belcourt 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 Belcourt, FNP
Po Box 1387,
Angels Camp, CA 95222-1387
Ph: (209) 736-0249 | Kelsey Belcourt, FNP
445 S Main St,
Angels Camp, CA 95222-9328
Ph: (209) 736-0249 |
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