Leslie Kellam, DNP in Winston Salem, NC - Medicare Nurse Practitioner

Leslie Kellam, DNP is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is Medical Center Boulevard, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-3600.

Leslie Kellam is licensed to practice in North Carolina (license number 5015063) 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 1699445056.

Contact Information

	Leslie Kellam, DNP
	Medical Center Boulevard, Winston Salem, NC 27157-0001
	(336) 716-3600
	(336) 716-6622

Map and Direction

Provider's Profile

Full Name	Leslie Kellam
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	Medical Center Boulevard, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Leslie Kellam graduated from nursing school in 2021

NPI Data:

NPI Number: 1699445056
Provider Enumeration Date: 09/16/2021
Last Update Date: 01/19/2022

Medicare PECOS Information:

PECOS PAC ID: 2961894795
Enrollment ID: I20220127002439

Medical Identifiers

Medical identifiers for Leslie Kellam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699445056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	279599 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5015063 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Carolina Baptist Hospital	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2048

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. Leslie Kellam allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Leslie Kellam 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
Leslie Kellam, DNP 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-0238	Leslie Kellam, DNP Medical Center Boulevard, Winston Salem, NC 27157-0001 Ph: (336) 716-3600

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103 Phone: 336-718-6199 Fax: 336-718-6190
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Leslie Kellam, DNP - Medicare Nurse Practitioner in Winston Salem, NC