Kelsey Mae Hernandez, AGACNP-BC is a medicare enrolled "Hospitalist" in Amarillo, Texas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bsa Physicians Group Inc and her current practice location is
1600 Wallace Blvd, Amarillo, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 212-2129.
Kelsey Mae Hernandez is licensed to practice in Texas (license number 1012436) 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 1568064194.
Provider's Profile
| Full Name | Kelsey Mae Hernandez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1600 Wallace Blvd, Amarillo, Texas |
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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 Mae Hernandez graduated from nursing school in 2020
NPI Data:
- NPI Number: 1568064194
- Provider Enumeration Date: 11/09/2020
- Last Update Date: 11/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991116303
- Enrollment ID: I20201116001039
Medical Identifiers
Medical identifiers for Kelsey Mae Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568064194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2100X | Clinical Nurse Specialist - Acute Care | 1012436 (Texas) | Secondary |
| 208M00000X | Hospitalist | 1012436 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bsa Physicians Group Inc | 3971748146 | 96 |
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 Mae Hernandez allows following entities to bill medicare on her behalf.
| Entity Name | Bsa Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457696916
PECOS PAC ID: 3971748146
Enrollment ID: O20130319000147 |
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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 Mae Hernandez 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 Mae Hernandez, AGACNP-BC
Po Box 840026,
Dallas, TX 75284-0026
Ph: (806) 212-6965 | Kelsey Mae Hernandez, AGACNP-BC
1600 Wallace Blvd,
Amarillo, TX 79106-1799
Ph: (806) 212-2129 |
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