Larry Wayne Kelly Jr, PMHNP in Fairbanks, AK - Medicare Nurse Practitioner

Larry Wayne Kelly Jr, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fairbanks, Alaska. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fairbanks Community Mental Health Services Llc and his current practice location is 1423 Peger Rd, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 371-1300.

Larry Wayne Kelly Jr is licensed to practice in Alaska (license number 183314) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487319869.

Contact Information

	Larry Wayne Kelly Jr, PMHNP
	1423 Peger Rd, Fairbanks, AK 99709-5169
	(907) 371-1300
	Not Available

Map and Direction

Provider's Profile

Full Name	Larry Wayne Kelly Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	1423 Peger Rd, Fairbanks, Alaska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larry Wayne Kelly Jr graduated from nursing school in 2021

NPI Data:

NPI Number: 1487319869
Provider Enumeration Date: 11/01/2021
Last Update Date: 11/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9335539428
Enrollment ID: I20211203001471

Medical Identifiers

Medical identifiers for Larry Wayne Kelly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487319869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	183314 (Alaska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairbanks Community Mental Health Services Llc	6406085562	10

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. Larry Wayne Kelly Jr allows following entities to bill medicare on his behalf.

Entity Name	Anchorage Community Mental Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326268301 PECOS PAC ID: 1052213089 Enrollment ID: O20040121000942

Entity Name	Fairbanks Community Mental Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023445871 PECOS PAC ID: 6406085562 Enrollment ID: O20140212001626

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. Larry Wayne Kelly Jr 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
Larry Wayne Kelly Jr, PMHNP 906 Kingdom Come Dr, Cumberland, KY 40823-1547 Ph: (606) 508-5204	Larry Wayne Kelly Jr, PMHNP 1423 Peger Rd, Fairbanks, AK 99709-5169 Ph: (907) 371-1300

Reviews and Comments

Nurse Practitioner Nurses in Fairbanks, AK

Ms. Sarah Madsen, RN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 W Barnette St, Fairbanks, AK 99701 Phone: 907-451-1665 Fax: 907-451-1661
Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701
Janice L Stables, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701 Phone: 907-452-6330 Fax: 907-452-6335
Anne Marie Lilley, RN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701 Phone: 907-361-6370 Fax: 907-361-6372
Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238
Alyce Lynne Weckwerth, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-451-6251
Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192

Larry Wayne Kelly Jr, PMHNP - Medicare Nurse Practitioner in Fairbanks, AK