Mackenzie Brae Kelly, FNP in Ashland, KY - Medicare Nurse Practitioner

Mackenzie Brae Kelly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ashland, Kentucky. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kings Daughters Medical Specialties Inc and her current practice location is 613 23rd St Ste G10, Ashland, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 408-5864.

Mackenzie Brae Kelly is licensed to practice in Kentucky (license number 3017986) 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 1699407957.

Contact Information

	Mackenzie Brae Kelly, FNP
	613 23rd St Ste G10, Ashland, KY 41101-2886
	(606) 408-5864
	Not Available

Map and Direction

Provider's Profile

Full Name	Mackenzie Brae Kelly
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	613 23rd St Ste G10, Ashland, Kentucky
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:

Mackenzie Brae Kelly graduated from nursing school in 2022

NPI Data:

NPI Number: 1699407957
Provider Enumeration Date: 06/27/2022
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2860874914
Enrollment ID: I20220805000971

Medical Identifiers

Medical identifiers for Mackenzie Brae Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699407957	NPI	-	NPPES
7100835320	Medicaid	KY
0498594	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3017986 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
King's Daughters' Medical Center	Ashland, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kings Daughters Medical Specialties Inc	6103968029	326

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. Mackenzie Brae Kelly allows following entities to bill medicare on her behalf.

Entity Name	Kings Daughters Medical Specialties Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710215736 PECOS PAC ID: 6103968029 Enrollment ID: O20100217000538

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. Mackenzie Brae Kelly 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
Mackenzie Brae Kelly, FNP Po Box 2379, Ashland, KY 41105-2379 Ph: () -	Mackenzie Brae Kelly, FNP 613 23rd St Ste G10, Ashland, KY 41101-2886 Ph: (606) 408-5864

Reviews and Comments

Nurse Practitioner Nurses in Ashland, KY

Lisa Ellen Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 230, Ashland, KY 41101 Phone: 606-324-4745 Fax: 606-324-4941
Tomie Thompson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ashland Dr, Ste G1, Ashland, KY 41101 Phone: 606-833-4043
Susan Aliff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 19, Ashland, KY 41101 Phone: 606-325-2221 Fax: 606-324-1326
Tracy Ricewick, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 130, Ashland, KY 41101 Phone: 606-329-9335
Rita Nicole Fletcher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 399 Diederich Blvd, Ashland, KY 41101 Phone: 606-324-8060 Fax: 606-325-6889
Darren Barker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 613 23rd St Ste 440, Ashland, KY 41101 Phone: 606-329-2888
Martina Renate Myers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6825

Mackenzie Brae Kelly, FNP - Medicare Nurse Practitioner in Ashland, KY