Kelsey Kathleen O'brien, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Algonquin, Illinois. Her current practice location is
15 Grandview Ct, Algonquin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 707-5839.
Kelsey Kathleen O'brien is licensed to practice in Illinois (license number 209029945) 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 1487373916.
Provider's Profile
Full Name | Kelsey Kathleen O'brien |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 15 Grandview Ct, Algonquin, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487373916
- Provider Enumeration Date: 08/26/2022
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062951700
- Enrollment ID: I20240827000709
Medical Identifiers
Medical identifiers for Kelsey Kathleen O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487373916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041.456155 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209029945 (Illinois) | 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 Kathleen O'brien allows following entities to bill medicare on her behalf.
Entity Name | North American Partners In Anesthesia Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
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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 Kathleen O'brien 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 |
Kelsey Kathleen O'brien, 15 Grandview Ct, Algonquin, IL 60102-1993 Ph: (847) 707-5839 | Kelsey Kathleen O'brien, 15 Grandview Ct, Algonquin, IL 60102-1993 Ph: (847) 707-5839 |
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